TIMOTHY R SONCASIE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026254

License Status

EXPIRED

Business

First Name

TIMOTHY R

Last Name

SONCASIE

Business Name

TIMOTHY R SONCASIE

Original Issue Date

04/23/1991

Effective Date

04/23/1991

Expiration Date

06/30/1994

City

PEORIA

State

Zip

61637

County

PEORIA

Ever Disciplined

LastModifiedDate

09/22/2006