JAMES D MEDEIROS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016466

License Status

EXPIRED

Business

First Name

JAMES

Middle

Last Name

MEDEIROS

Business Name

JAMES D MEDEIROS

Original Issue Date

01/25/1984

Effective Date

01/25/1984

Expiration Date

11/01/1985

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006