SETH SHAWN MOLLOY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053302

License Status

EXPIRED

Business

First Name

SETH

Middle

SHAWN

Last Name

MOLLOY

Business Name

SETH SHAWN MOLLOY

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

NORMAL

State

Zip

61761

County

MCLEAN

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

10/07/2013