LYLE F PARKS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020723

License Status

EXPIRED

Business

First Name

LYLE F

Last Name

PARKS

Suffix

Business Name

LYLE F PARKS MD

Original Issue Date

05/06/1987

Effective Date

05/06/1987

Expiration Date

06/27/1990

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006