JUSTIN DAVID PARKER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057767

License Status

CANCELLED

Business

Title

First Name

JUSTIN

Middle

DAVID

Last Name

PARKER

Business Name

JUSTIN DAVID PARKER MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

DECATUR

State

Zip

62526

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/13/2010