DENIS S QUILL Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021640

License Status

EXPIRED

Business

First Name

DENIS

Middle

Last Name

QUILL

Business Name

DENIS S QUILL

Original Issue Date

07/28/1987

Effective Date

07/28/1987

Expiration Date

07/01/1990

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006