AMELIA L DEAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035709

License Status

EXPIRED

Business

First Name

AMELIA

Middle

Last Name

DEAN

Suffix

Business Name

AMELIA L DEAN MD

Original Issue Date

04/29/1997

Effective Date

04/29/1997

Expiration Date

06/30/2000

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006