TIMOTHY J MCDERMOTT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000223

License Status

EXPIRED

Business

First Name

TIMOTHY

Middle

Last Name

MCDERMOTT

Suffix

Business Name

TIMOTHY J MCDERMOTT MD

Original Issue Date

09/20/2004

Effective Date

09/20/2004

Expiration Date

03/19/2005

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/01/2018