JEFFREY WAYNE CHILDERS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037832

License Status

EXPIRED

Business

First Name

JEFFREY

Middle

WAYNE

Last Name

CHILDERS

Suffix

Business Name

JEFFREY WAYNE CHILDERS MD

Original Issue Date

07/01/1998

Effective Date

07/01/1998

Expiration Date

06/30/2001

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006