BERNADETTE MARIE RAY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050162

License Status

CANCELLED

Business

First Name

BERNADETTE

Middle

MARIE

Last Name

RAY

Suffix

Business Name

BERNADETTE MARIE RAY MD

Original Issue Date

08/01/2005

Effective Date

08/01/2005

Expiration Date

07/31/2008

City

GIBSON CITY

State

Zip

60936

County

FORD

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006