RACHEL M QUALLEY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035689

License Status

EXPIRED

Business

First Name

RACHEL

Middle

Last Name

QUALLEY

Business Name

RACHEL M QUALLEY

Original Issue Date

04/25/1997

Effective Date

04/25/1997

Expiration Date

06/25/2000

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

09/22/2006