AMY DANIELLE NORTH DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064829

License Status

EXPIRED

Business

Title

First Name

AMY

Middle

DANIELLE

Last Name

NORTH

Business Name

AMY DANIELLE NORTH DO

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

Family Practice

Ever Disciplined

LastModifiedDate

09/19/2017