CARLA MARIE RAFFERTY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055554

License Status

CANCELLED

Business

Title

First Name

CARLA

Middle

MARIE

Last Name

RAFFERTY

Business Name

CARLA MARIE RAFFERTY MD

Original Issue Date

07/28/2008

Effective Date

07/28/2008

Expiration Date

07/27/2011

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/28/2008