ABIGAIL E ADAMS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054861

License Status

CANCELLED

Business

Title

First Name

ABIGAIL

Middle

Last Name

ADAMS

Business Name

ABIGAIL E ADAMS MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2012

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

06/17/2011