BECKY ANN SLATER DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000948

License Status

CANCELLED

Business

Title

First Name

BECKY

Middle

ANN

Last Name

SLATER

Business Name

BECKY ANN SLATER DO

Original Issue Date

05/01/2013

Effective Date

05/01/2013

Expiration Date

05/31/2013

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/01/2013