JAMES E MERRILL Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000174

License Status

EXPIRED

Business

First Name

JAMES

Middle

Last Name

MERRILL

Business Name

JAMES E MERRILL

Original Issue Date

07/17/1992

Effective Date

07/17/1992

Expiration Date

09/30/1992

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

Maternal-Fetal Medicine

Ever Disciplined

LastModifiedDate

09/25/2006