JULIA ERIN REID MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053205

License Status

CANCELLED

Business

First Name

JULIA

Middle

ERIN

Last Name

REID

Suffix

Business Name

JULIA ERIN REID MD

Original Issue Date

06/26/2010

Effective Date

06/26/2010

Expiration Date

06/25/2011

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

04/05/2010