JULIE DONNELLY STARK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050180

License Status

EXPIRED

Business

First Name

JULIE

Middle

DONNELLY

Last Name

STARK

Suffix

Business Name

JULIE DONNELLY STARK MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/31/2008