DIANE JENNIFER SANTORINEOS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045802

License Status

EXPIRED

Business

First Name

DIANE

Middle

JENNIFER

Last Name

SANTORINEOS

Business Name

DIANE JENNIFER SANTORINEOS

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2006

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006