CAROL LOUISE MCINTYRE DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000555

License Status

EXPIRED

Business

First Name

CAROL

Middle

LOUISE

Last Name

MCINTYRE

Suffix

Business Name

CAROL LOUISE MCINTYRE DO

Original Issue Date

06/05/2002

Effective Date

06/05/2002

Expiration Date

09/04/2002

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

Maternal-Fetal Medicine

Ever Disciplined

LastModifiedDate

09/25/2006