MARY J H LAMOUR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081013

License Status

CANCELLED

Business

Title

First Name

MARY

Middle

J H

Last Name

LAMOUR

Business Name

MARY J H LAMOUR MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/05/2025