GAIL MARIE AMUNDSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120403

License Status

NOT RENEWED

Business

First Name

GAIL

Middle

MARIE

Last Name

AMUNDSON

Suffix

Business Name

GAIL MARIE AMUNDSON MD

Original Issue Date

04/02/2008

Effective Date

07/29/2011

Expiration Date

07/31/2014

City

PEORIA

State

Zip

61602

County

PEORIA

Ever Disciplined

LastModifiedDate

11/17/2014