DELORA L MOUNT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132261

License Status

NOT RENEWED

Business

Title

First Name

DELORA

Middle

Last Name

MOUNT

Business Name

DELORA L MOUNT MD

Original Issue Date

04/05/2013

Effective Date

06/12/2020

Expiration Date

07/31/2023

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/30/2023