CHERYLL D RICH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035140

License Status

EXPIRED

Business

First Name

CHERYLL

Middle

Last Name

RICH

Business Name

CHERYLL D RICH

Original Issue Date

06/17/1996

Effective Date

06/17/1996

Expiration Date

06/30/1999

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006