AURA M EBERHARDT Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043617

License Status

EXPIRED

Business

First Name

AURA

Middle

Last Name

EBERHARDT

Business Name

AURA M EBERHARDT

Original Issue Date

06/29/2001

Effective Date

06/29/2001

Expiration Date

06/28/2004

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006