ANGELA J AMMON - Medical Doctor License in Illinois | # 130000306

ANGELA J AMMON

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000306

License Status

EXPIRED

Business

N

First Name

ANGELA

Middle

J

Last Name

AMMON

Business Name

ANGELA J AMMON

Original Issue Date

10/24/1995

Effective Date

10/24/1995

Expiration Date

01/14/1996

State

IL

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

N

LastModifiedDate

09/25/2006