LYDIA ANN CHILDRESS DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049772

License Status

EXPIRED

Business

First Name

LYDIA

Middle

ANN

Last Name

CHILDRESS

Suffix

Business Name

LYDIA ANN CHILDRESS DO

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/19/2018