LINDA REBEKAH MISHLOVE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

CANCELLED

Business

First Name

LINDA REBEKAH

Last Name

MISHLOVE

Suffix

Business Name

LINDA REBEKAH MISHLOVE MD

Original Issue Date

03/10/1998

Effective Date

03/10/1998

Expiration Date

07/31/2005

City

ELDORADO

State

Zip

62930

County

SALINE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006