WILLIAM JOSEPH STITH JR DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052749

License Status

CANCELLED

Business

First Name

WILLIAM

Middle

JOSEPH

Last Name

STITH

Suffix

JR DO

Business Name

WILLIAM JOSEPH STITH JR DO

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/01/2007