DENISE RENEE TITTLE DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055139

License Status

EXPIRED

Business

Title

First Name

DENISE

Middle

RENEE

Last Name

TITTLE

Business Name

DENISE RENEE TITTLE DO

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/19/2011