DWAYNE ALLEN MCQUITTY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023331

License Status

EXPIRED

Business

First Name

DWAYNE

Middle

ALLEN

Last Name

MCQUITTY

Suffix

Business Name

DWAYNE ALLEN MCQUITTY MD

Original Issue Date

04/20/1989

Effective Date

04/20/1989

Expiration Date

07/01/1992

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006