JENNIFER LYNE ASH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046538

License Status

EXPIRED

Business

First Name

JENNIFER

Middle

LYNE

Last Name

ASH

Business Name

JENNIFER LYNE ASH

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

07/13/2008

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

07/31/2008