OLIVIA MARIE WHITE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070737

License Status

CANCELLED

Business

Title

First Name

OLIVIA

Middle

MARIE

Last Name

WHITE

Business Name

OLIVIA MARIE WHITE MD

Original Issue Date

06/26/2020

Effective Date

06/26/2020

Expiration Date

06/25/2022

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

03/04/2020