MARGO J HEIN MUNIZ Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035678

License Status

CANCELLED

Business

First Name

MARGO J

Last Name

HEIN MUNIZ

Business Name

MARGO J HEIN MUNIZ

Original Issue Date

04/24/1997

Effective Date

04/24/1997

Expiration Date

06/30/2000

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

08/08/2013