SALLY DIANE SLOWMAN MIDDETON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100009

License Status

NOT RENEWED

Business

First Name

SALLY

Middle

DIANE

Last Name

SLOWMAN MIDDETON

Suffix

Business Name

SALLY DIANE SLOWMAN MIDDETON MD

Original Issue Date

04/09/1999

Effective Date

06/14/2017

Expiration Date

09/30/2020

City

INDIANAPOLIS

State

Zip

46290

County

INDIANA

Ever Disciplined

LastModifiedDate

01/14/2021