KIMBERLY G MANSELL DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028279

License Status

EXPIRED

Business

First Name

KIMBERLY G

Last Name

MANSELL

Suffix

Business Name

KIMBERLY G MANSELL DO

Original Issue Date

05/20/1992

Effective Date

05/20/1992

Expiration Date

06/30/1995

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006