ANNA MIES RICHIE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037347

License Status

EXPIRED

Business

First Name

ANNA

Middle

MIES

Last Name

RICHIE

Suffix

Business Name

ANNA MIES RICHIE MD

Original Issue Date

04/23/1998

Effective Date

04/23/1998

Expiration Date

06/30/2001

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006