RITA G HUNGATE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101377

License Status

NOT RENEWED

Business

First Name

RITA

Middle

Last Name

HUNGATE

Suffix

Business Name

RITA G HUNGATE MD

Original Issue Date

09/29/1999

Effective Date

04/08/2011

Expiration Date

07/31/2014

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

11/17/2014