CALLEY ANNE LIDLE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050402

License Status

EXPIRED

Business

First Name

CALLEY

Middle

ANNE

Last Name

LIDLE

Suffix

Business Name

CALLEY ANNE LIDLE MD

Original Issue Date

06/29/2005

Effective Date

06/29/2005

Expiration Date

06/28/2008

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

07/31/2008