DAVID S AAMODT Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110327

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

AAMODT

Business Name

DAVID S AAMODT

Original Issue Date

10/17/2003

Effective Date

10/17/2003

Expiration Date

07/31/2005

City

PEORIA

State

Zip

61602

County

PEORIA

Ever Disciplined

LastModifiedDate

10/09/2006