REBECCA A PROEHL Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042684

License Status

EXPIRED

Business

First Name

REBECCA

Middle

Last Name

PROEHL

Business Name

REBECCA A PROEHL

Original Issue Date

07/01/2001

Effective Date

07/01/2001

Expiration Date

06/30/2004

City

PEORIA

State

Zip

61637

County

PEORIA

Ever Disciplined

LastModifiedDate

09/22/2006