HEATHER LYNN DUDLEY DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113156

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

LYNN

Last Name

DUDLEY

Suffix

Business Name

HEATHER LYNN DUDLEY DO

Original Issue Date

02/25/2005

Effective Date

06/07/2017

Expiration Date

09/30/2020

City

GREEN COVE SPRINGS

State

Zip

32043

Ever Disciplined

LastModifiedDate

01/14/2021