OLIVE CLARICE OSBORNE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095679

License Status

NOT RENEWED

Business

First Name

OLIVE CLARICE

Last Name

OSBORNE

Suffix

Business Name

OLIVE CLARICE OSBORNE MD

Original Issue Date

06/20/1997

Effective Date

06/20/1997

Expiration Date

07/31/1999

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/20/2006