EVAN B SUAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027527

License Status

EXPIRED

Business

First Name

EVAN B

Last Name

SUAN

Business Name

EVAN B SUAN

Original Issue Date

08/21/1991

Effective Date

08/21/1991

Expiration Date

08/19/1994

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006