LORA A OVERTON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000204

License Status

EXPIRED

Business

First Name

LORA

Middle

Last Name

OVERTON

Business Name

LORA A OVERTON

Original Issue Date

03/17/1993

Effective Date

03/17/1993

Expiration Date

06/30/1994

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/25/2006