CYNTHIA H HART Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025154

License Status

EXPIRED

Business

First Name

CYNTHIA

Middle

Last Name

HART

Business Name

CYNTHIA H HART

Original Issue Date

05/25/1990

Effective Date

05/25/1990

Expiration Date

06/30/1994

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/22/2006