TIMOTHY ALLEN GERDIS DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098887

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

ALLEN

Last Name

GERDIS

Suffix

Business Name

TIMOTHY ALLEN GERDIS DO

Original Issue Date

08/26/1998

Effective Date

08/26/1998

Expiration Date

07/31/2002

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

10/09/2006