LYNNE MARIE WERTH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065264

License Status

EXPIRED

Business

Title

First Name

LYNNE

Middle

MARIE

Last Name

WERTH

Business Name

LYNNE MARIE WERTH MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/19/2017