CARRIE ANN MUDD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127522

License Status

NOT RENEWED

Business

First Name

CARRIE

Middle

ANN

Last Name

MUDD

Suffix

Business Name

CARRIE ANN MUDD MD

Original Issue Date

04/12/2011

Effective Date

10/01/2020

Expiration Date

07/31/2023

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

11/30/2023