TODD J DUELLMAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042504

License Status

EXPIRED

Business

First Name

TODD

Middle

Last Name

DUELLMAN

Business Name

TODD J DUELLMAN

Original Issue Date

07/01/2001

Effective Date

07/01/2001

Expiration Date

06/30/2006

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

09/22/2006