WENDY OLSON PADILLA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055285

License Status

CANCELLED

Business

Title

First Name

WENDY

Last Name

OLSON PADILLA

Business Name

WENDY OLSON PADILLA MD

Original Issue Date

06/24/2011

Effective Date

06/24/2011

Expiration Date

06/23/2014

City

PEORIA

State

Zip

61606

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

03/24/2014