CHRISTINA BEA NULTY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025403

License Status

EXPIRED

Business

First Name

CHRISTINA BEA

Last Name

NULTY

Suffix

Business Name

CHRISTINA BEA NULTY MD

Original Issue Date

06/11/1990

Effective Date

06/11/1990

Expiration Date

06/30/1993

City

PEORIA

State

Zip

61637

County

PEORIA

Ever Disciplined

LastModifiedDate

09/22/2006