LINDA L MENDOZA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019583

License Status

EXPIRED

Business

First Name

LINDA

Middle

Last Name

MENDOZA

Business Name

LINDA L MENDOZA

Original Issue Date

06/18/1986

Effective Date

06/18/1986

Expiration Date

09/01/1989

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006