ALI R EFFENDI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047085

License Status

EXPIRED

Business

First Name

ALI

Middle

Last Name

EFFENDI

Business Name

ALI R EFFENDI

Original Issue Date

08/25/2003

Effective Date

08/25/2003

Expiration Date

08/24/2006

City

PEORIA

State

Zip

61602

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006