MARTIN JONES LAFOLLETTE DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058481

License Status

CANCELLED

Business

Title

First Name

MARTIN

Middle

JONES

Last Name

LAFOLLETTE

Business Name

MARTIN JONES LAFOLLETTE DO

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/03/2010