SHELLEY OSTRIC MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044819

License Status

EXPIRED

Business

Title

First Name

SHELLEY

Last Name

OSTRIC

Business Name

SHELLEY OSTRIC MD

Original Issue Date

06/24/2002

Effective Date

06/24/2002

Expiration Date

07/31/2006

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

09/22/2006