DAHLIA BELKIN PEASE DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044499

License Status

EXPIRED

Business

First Name

DAHLIA

Middle

BELKIN

Last Name

PEASE

Suffix

Business Name

DAHLIA BELKIN PEASE DO

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/30/2005

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006