SALLY KATHLEEN HINMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144144

License Status

NOT RENEWED

Business

Title

First Name

SALLY

Middle

KATHLEEN

Last Name

HINMAN

Business Name

SALLY KATHLEEN HINMAN MD

Original Issue Date

08/21/2017

Effective Date

08/21/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61605

Ever Disciplined

LastModifiedDate

01/14/2021