JULIE ANN MORA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055030

License Status

CANCELLED

Business

First Name

JULIE

Middle

ANN

Last Name

MORA

Suffix

Business Name

JULIE ANN MORA MD

Original Issue Date

06/23/2008

Effective Date

06/23/2008

Expiration Date

06/22/2011

City

SCHERERVILLE

State

Zip

46375

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/11/2008