ASHLEY NICOLE AMALFI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056732

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

NICOLE

Last Name

AMALFI

Suffix

Business Name

ASHLEY NICOLE AMALFI MD

Original Issue Date

06/26/2015

Effective Date

06/26/2015

Expiration Date

08/28/2015

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Plastic Surgery

Ever Disciplined

LastModifiedDate

01/07/2016