MEREDITH MARIE ULMER DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056195

License Status

CANCELLED

Business

Title

First Name

MEREDITH

Middle

MARIE

Last Name

ULMER

Business Name

MEREDITH MARIE ULMER DO

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

BELVIDERE

State

Zip

61008

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/26/2009