STEVEN J ULLENIUS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035509

License Status

EXPIRED

Business

First Name

STEVEN

Middle

Last Name

ULLENIUS

Suffix

Business Name

STEVEN J ULLENIUS MD

Original Issue Date

08/16/1996

Effective Date

08/16/1996

Expiration Date

08/16/2000

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006