LETO QUARLES Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038788

License Status

EXPIRED

Business

First Name

LETO

Last Name

QUARLES

Business Name

LETO QUARLES

Original Issue Date

07/30/1998

Effective Date

07/30/1998

Expiration Date

07/29/2001

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006