DEVON CLAIRE OSWALD DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071513

License Status

CANCELLED

Business

Title

First Name

DEVON

Middle

CLAIRE

Last Name

OSWALD

Business Name

DEVON CLAIRE OSWALD DO

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

07/31/2020

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/05/2017