KERRILYN TARGOS HEWELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036165630

License Status

ACTIVE

Business

Title

First Name

KERRILYN

Middle

TARGOS

Last Name

HEWELL

Business Name

KERRILYN TARGOS HEWELL MD

Original Issue Date

06/30/2023

Effective Date

06/30/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/30/2023