JAMES GARY MINNIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049901

License Status

EXPIRED

Business

First Name

JAMES

Middle

GARY

Last Name

MINNIS

Suffix

Business Name

JAMES GARY MINNIS MD

Original Issue Date

06/28/2010

Effective Date

06/28/2010

Expiration Date

06/27/2011

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

07/19/2011