AMANDA SUE WRIGHT DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053539

License Status

CANCELLED

Business

Title

First Name

AMANDA

Middle

SUE

Last Name

WRIGHT

Business Name

AMANDA SUE WRIGHT DO

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

PEORIA

State

Zip

61602

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/06/2007