JOAN MARIE COVAULT Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115503

License Status

NOT RENEWED

Business

First Name

JOAN

Middle

MARIE

Last Name

COVAULT

Business Name

JOAN MARIE COVAULT

Original Issue Date

03/21/2006

Effective Date

05/08/2017

Expiration Date

09/30/2020

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

01/14/2021