DAVID JEROME KNORR DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038317

License Status

CANCELLED

Business

First Name

DAVID

Middle

JEROME

Last Name

KNORR

Suffix

Business Name

DAVID JEROME KNORR DO

Original Issue Date

07/01/1998

Effective Date

07/01/1998

Expiration Date

06/30/2001

City

PEORIA

State

Zip

61602

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006