DAVID J SLY DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026819

License Status

EXPIRED

Business

First Name

DAVID J

Last Name

SLY

Suffix

Business Name

DAVID J SLY DO

Original Issue Date

05/17/1991

Effective Date

05/17/1991

Expiration Date

06/30/1993

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006