MEGAN PHILLIPS LENT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059901

License Status

EXPIRED

Business

Title

First Name

MEGAN

Middle

PHILLIPS

Last Name

LENT

Business Name

MEGAN PHILLIPS LENT MD

Original Issue Date

06/26/2014

Effective Date

06/26/2014

Expiration Date

06/25/2015

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

09/04/2015