ALICE ROBERTA HALL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044817

License Status

EXPIRED

Business

First Name

ALICE

Middle

ROBERTA

Last Name

HALL

Suffix

Business Name

ALICE ROBERTA HALL MD

Original Issue Date

06/26/2002

Effective Date

06/26/2002

Expiration Date

07/31/2005

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006