MONA LOUISE AUSTRUP MD - Medical Doctor License in Illinois | # 125031827

MONA LOUISE AUSTRUP MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031827

License Status

EXPIRED

Business

N

First Name

MONA LOUISE

Last Name

AUSTRUP

Suffix

MD

Business Name

MONA LOUISE AUSTRUP MD

Original Issue Date

06/15/1994

Effective Date

06/15/1994

Expiration Date

06/24/1998

State

IL

Specialty/Qualifier

Anesthesiology

Ever Disciplined

N

LastModifiedDate

09/22/2006