NOLA T MAHONEY DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036070946

License Status

INACTIVE

Business

First Name

NOLA T

Last Name

MAHONEY

Suffix

Business Name

NOLA T MAHONEY DO

Original Issue Date

06/24/1985

Effective Date

06/24/1985

Expiration Date

07/31/1987

City

OFALLON

State

Zip

62269

County

PEORIA

Ever Disciplined

LastModifiedDate

09/20/2006