STEVEN E COVENTRY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038020

License Status

EXPIRED

Business

First Name

STEVEN

Middle

Last Name

COVENTRY

Business Name

STEVEN E COVENTRY

Original Issue Date

07/01/1998

Effective Date

07/01/1998

Expiration Date

06/30/2001

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006