TAYSON DELENGOCKY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122962

License Status

NOT RENEWED

Business

First Name

TAYSON

Last Name

DELENGOCKY

Business Name

TAYSON DELENGOCKY

Original Issue Date

03/31/2009

Effective Date

04/07/2011

Expiration Date

07/31/2014

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

11/17/2014