AMY B STANFILL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118715

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

STANFILL

Suffix

Business Name

AMY B STANFILL MD

Original Issue Date

06/15/2007

Effective Date

04/19/2011

Expiration Date

07/31/2014

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

11/17/2014