HEATHER LYNN DUDLEY DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000602

License Status

EXPIRED

Business

First Name

HEATHER

Middle

LYNN

Last Name

DUDLEY

Suffix

Business Name

HEATHER LYNN DUDLEY DO

Original Issue Date

09/01/2003

Effective Date

09/01/2003

Expiration Date

02/28/2004

City

GREEN COVE SPRINGS

State

Zip

32043

Specialty/Qualifier

Maternal-Fetal Medicine

Ever Disciplined

LastModifiedDate

09/25/2006