LORIE A BLEYER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023473

License Status

EXPIRED

Business

First Name

LORIE A

Last Name

BLEYER

Suffix

Business Name

LORIE A BLEYER MD

Original Issue Date

05/02/1989

Effective Date

05/02/1989

Expiration Date

06/26/1992

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006