LISA RENEE FERLEY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030919

License Status

EXPIRED

Business

First Name

LISA

Middle

RENEE

Last Name

FERLEY

Business Name

LISA RENEE FERLEY

Original Issue Date

04/30/1994

Effective Date

04/30/1994

Expiration Date

06/25/1997

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006