HOLLY RAE HOEFGEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054059

License Status

EXPIRED

Business

Title

First Name

HOLLY

Middle

RAE

Last Name

HOEFGEN

Business Name

HOLLY RAE HOEFGEN MD

Original Issue Date

06/26/2011

Effective Date

06/26/2011

Expiration Date

06/25/2012

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

08/29/2012