LAURA M ROE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060242

License Status

CANCELLED

Business

Title

First Name

LAURA

Middle

Last Name

ROE

Business Name

LAURA M ROE MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2015

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

05/01/2014