LATISA S CARSON-VEGLIA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035721

License Status

EXPIRED

Business

First Name

LATISA

Middle

Last Name

CARSON-VEGLIA

Business Name

LATISA S CARSON-VEGLIA

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

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006