PALMELLA NODEE HAWS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060707

License Status

CANCELLED

Business

Title

First Name

PALMELLA

Middle

NODEE

Last Name

HAWS

Business Name

PALMELLA NODEE HAWS MD

Original Issue Date

08/15/2011

Effective Date

08/15/2011

Expiration Date

08/14/2014

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

08/15/2011