TAMARA L OLT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027901

License Status

EXPIRED

Business

First Name

TAMARA L

Last Name

OLT

Suffix

Business Name

TAMARA L OLT MD

Original Issue Date

05/06/1992

Effective Date

05/06/1992

Expiration Date

06/30/1995

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006