CARLOTA C NEPOMUCENO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028855

License Status

EXPIRED

Business

First Name

CARLOTA C

Last Name

NEPOMUCENO

Business Name

CARLOTA C NEPOMUCENO

Original Issue Date

06/23/1992

Effective Date

06/23/1992

Expiration Date

06/30/1995

City

ROCKFORD

State

Zip

61107

County

BOONE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006