RAFAEL E JIMENEZ Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032029

License Status

EXPIRED

Business

First Name

RAFAEL

Middle

Last Name

JIMENEZ

Business Name

RAFAEL E JIMENEZ

Original Issue Date

06/29/1994

Effective Date

06/29/1994

Expiration Date

06/30/1997

City

PEORIA

State

Zip

61637

County

PEORIA

Ever Disciplined

LastModifiedDate

10/30/2007