ANA O MIGONE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024312

License Status

EXPIRED

Business

First Name

ANA O

Last Name

MIGONE

Business Name

ANA O MIGONE

Original Issue Date

07/01/1989

Effective Date

07/01/1989

Expiration Date

06/30/1992

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006