CHRISTIAN TODD MINSHALL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038919

License Status

CANCELLED

Business

First Name

CHRISTIAN

Middle

TODD

Last Name

MINSHALL

Suffix

Business Name

CHRISTIAN TODD MINSHALL MD

Original Issue Date

03/02/1999

Effective Date

03/02/1999

Expiration Date

03/01/2000

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006