STEPHANIE LORRAINE VAMPOLA DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000629

License Status

EXPIRED

Business

Title

First Name

STEPHANIE

Middle

LORRAINE

Last Name

VAMPOLA

Business Name

STEPHANIE LORRAINE VAMPOLA DO

Original Issue Date

03/15/2017

Effective Date

03/15/2017

Expiration Date

09/14/2017

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Specialty/Qualifier

Family Practice

Ever Disciplined

LastModifiedDate

11/01/2017