TIM J VEGA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020467

License Status

EXPIRED

Business

First Name

TIM J

Last Name

VEGA

Suffix

Business Name

TIM J VEGA MD

Original Issue Date

04/08/1987

Effective Date

04/08/1987

Expiration Date

07/01/1990

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006