ELLIOTT A MOHLER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028880

License Status

EXPIRED

Business

First Name

ELLIOTT

Middle

Last Name

MOHLER

Business Name

ELLIOTT A MOHLER

Original Issue Date

06/24/1992

Effective Date

06/24/1992

Expiration Date

08/04/1995

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006