ELIZABETH A TREST Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000256

License Status

EXPIRED

Business

First Name

ELIZABETH

Middle

Last Name

TREST

Business Name

ELIZABETH A TREST

Original Issue Date

09/01/1994

Effective Date

09/01/1994

Expiration Date

07/31/1995

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/25/2006