ERICH CHRISTOF AWENDER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032823

License Status

EXPIRED

Business

First Name

ERICH

Middle

CHRISTOF

Last Name

AWENDER

Suffix

Business Name

ERICH CHRISTOF AWENDER MD

Original Issue Date

05/30/1995

Effective Date

05/30/1995

Expiration Date

06/30/1998

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006