MILDRED ANNE EHRHART DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105761

License Status

NOT RENEWED

Business

First Name

MILDRED

Middle

ANNE

Last Name

EHRHART

Suffix

Business Name

MILDRED ANNE EHRHART DO

Original Issue Date

10/23/2001

Effective Date

10/23/2001

Expiration Date

07/31/2005

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/18/2016