DEROLD SAINTILUS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053828

License Status

CANCELLED

Business

Title

First Name

DEROLD

Last Name

SAINTILUS

Business Name

DEROLD SAINTILUS MD

Original Issue Date

07/16/2007

Effective Date

07/16/2007

Expiration Date

07/15/2010

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

07/16/2007