MARCIE DIANE CAIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056430

License Status

EXPIRED

Business

Title

First Name

MARCIE

Middle

DIANE

Last Name

CAIN

Business Name

MARCIE DIANE CAIN MD

Original Issue Date

06/26/2009

Effective Date

06/26/2009

Expiration Date

06/25/2012

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

08/29/2012