DAVID C AUTRY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036160

License Status

EXPIRED

Business

First Name

DAVID

Middle

Last Name

AUTRY

Business Name

DAVID C AUTRY

Original Issue Date

05/19/1997

Effective Date

05/19/1997

Expiration Date

06/30/1998

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006