CAMILLA MARIE PARHAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073509

License Status

NOT RENEWED

Business

First Name

CAMILLA MARIE

Last Name

PARHAM

Suffix

Business Name

CAMILLA MARIE PARHAM MD

Original Issue Date

08/14/1986

Effective Date

08/14/1986

Expiration Date

07/31/1990

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

02/03/2007

Case Number

2005005793

Action

Refuse To Renew

Discipline Start Date

11/09/2005

Discipline Reason

SISTER-STATE DISCIPLINE.