ANDREW JOSEPH DENISON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053744

License Status

EXPIRED

Business

First Name

ANDREW

Middle

JOSEPH

Last Name

DENISON

Business Name

ANDREW JOSEPH DENISON

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/08/2010