SHELBI RENEE HAYES Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054712

License Status

EXPIRED

Business

First Name

SHELBI

Middle

RENEE

Last Name

HAYES

Business Name

SHELBI RENEE HAYES

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

Dermatology

Ever Disciplined

LastModifiedDate

08/29/2012