CHURPHENA A REID MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036089160

License Status

NOT RENEWED

Business

First Name

CHURPHENA A

Last Name

REID

Suffix

Business Name

CHURPHENA A REID MD

Original Issue Date

07/25/1994

Effective Date

07/20/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

01/14/2021