MYLES LAYNE MOWERY DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084283

License Status

CANCELLED

Business

Title

First Name

MYLES

Middle

LAYNE

Last Name

MOWERY

Business Name

MYLES LAYNE MOWERY DO

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2026

City

OLYMPIA FIELDS

State

Zip

60461

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

10/03/2024