EMILY LOUISE ROEN NOLTE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074960

License Status

EXPIRED

Business

Title

First Name

EMILY

Middle

LOUISE ROEN

Last Name

NOLTE

Business Name

EMILY LOUISE ROEN NOLTE MD

Original Issue Date

06/24/2019

Effective Date

06/24/2019

Expiration Date

06/23/2022

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

10/11/2022