CYNTHIA L ELLIOTT Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020872

License Status

EXPIRED

Business

First Name

CYNTHIA

Middle

Last Name

ELLIOTT

Business Name

CYNTHIA L ELLIOTT

Original Issue Date

05/18/1987

Effective Date

05/18/1987

Expiration Date

05/05/1990

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006