ASHLEY LAVON BARKS MD - Medical Doctor License in Illinois | # 125062074

ASHLEY LAVON BARKS MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062074

License Status

CANCELLED

Business

N

Title

MD

First Name

ASHLEY

Middle

LAVON

Last Name

BARKS

Business Name

ASHLEY LAVON BARKS MD

Original Issue Date

06/24/2012

Effective Date

06/24/2012

Expiration Date

06/23/2015

State

IL

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

N

LastModifiedDate

03/24/2014