KELLY E BEWSEY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116610

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

BEWSEY

Business Name

KELLY E BEWSEY

Original Issue Date

07/26/2006

Effective Date

06/15/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

01/14/2021