MONA M CLOR Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043707

License Status

EXPIRED

Business

First Name

MONA

Middle

Last Name

CLOR

Business Name

MONA M CLOR

Original Issue Date

07/17/2001

Effective Date

07/17/2001

Expiration Date

07/16/2004

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006