SHELLY VERMA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000307

License Status

EXPIRED

Business

First Name

SHELLY

Last Name

VERMA

Suffix

Business Name

SHELLY VERMA MD

Original Issue Date

03/04/2007

Effective Date

03/04/2007

Expiration Date

09/03/2007

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/19/2007