DAVID MCKAY CHISHOLM Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043169

License Status

CANCELLED

Business

First Name

DAVID

Middle

MCKAY

Last Name

CHISHOLM

Business Name

DAVID MCKAY CHISHOLM

Original Issue Date

07/01/2001

Effective Date

07/01/2001

Expiration Date

06/30/2004

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006