MICHELLE LYNN VASQUEZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053673

License Status

EXPIRED

Business

First Name

MICHELLE

Middle

LYNN

Last Name

VASQUEZ

Suffix

Business Name

MICHELLE LYNN VASQUEZ MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

PERU

State

Zip

61354

County

LA SALLE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/08/2010