JEAN P DIEMER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022669

License Status

EXPIRED

Business

First Name

JEAN

Middle

Last Name

DIEMER

Business Name

JEAN P DIEMER

Original Issue Date

06/06/1988

Effective Date

06/06/1988

Expiration Date

07/01/1991

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006