MARIA R CISNEROS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044186

License Status

EXPIRED

Business

Title

First Name

MARIA

Middle

Last Name

CISNEROS

Business Name

MARIA R CISNEROS MD

Original Issue Date

06/24/2002

Effective Date

06/24/2002

Expiration Date

08/04/2006

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006