GAIL FERRELL STREATER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046516

License Status

EXPIRED

Business

First Name

GAIL

Middle

FERRELL

Last Name

STREATER

Suffix

Business Name

GAIL FERRELL STREATER MD

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