CODY MCEWEN CHRISTENSEN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137328

License Status

NOT RENEWED

Business

Title

First Name

CODY

Middle

MCEWEN

Last Name

CHRISTENSEN

Business Name

CODY MCEWEN CHRISTENSEN DO

Original Issue Date

02/18/2015

Effective Date

02/18/2015

Expiration Date

07/31/2017

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

11/01/2017