JON E STANDLEY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060780

License Status

EXPIRED

Business

First Name

JON

Middle

Last Name

STANDLEY

Business Name

JON E STANDLEY

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Family Practice

Ever Disciplined

LastModifiedDate

09/04/2015