JOHN R PATTY DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021037

License Status

EXPIRED

Business

First Name

JOHN R

Last Name

PATTY

Suffix

Business Name

JOHN R PATTY DO

Original Issue Date

05/28/1987

Effective Date

05/28/1987

Expiration Date

07/01/1990

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006