MALLORIE LANETTE HOOVER DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001182

License Status

EXPIRED

Business

Title

First Name

MALLORIE

Middle

LANETTE

Last Name

HOOVER

Business Name

MALLORIE LANETTE HOOVER DO

Original Issue Date

10/09/2017

Effective Date

10/09/2017

Expiration Date

11/08/2017

City

MAYWOOD

State

Zip

60153

Specialty/Qualifier

Female Pelvic Med Reconstructive Surg

Ever Disciplined

LastModifiedDate

01/04/2018