JUDITH L MARCIN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039079

License Status

EXPIRED

Business

First Name

JUDITH

Middle

Last Name

MARCIN

Business Name

JUDITH L MARCIN

Original Issue Date

07/01/1999

Effective Date

07/01/1999

Expiration Date

06/30/2003

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006