MARY L OWENS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067587

License Status

NOT RENEWED

Business

First Name

MARY L

Last Name

OWENS

Business Name

MARY L OWENS

Original Issue Date

09/08/1983

Effective Date

09/08/1983

Expiration Date

07/31/1990

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/20/2006