ANNEVAY DELLORA CONLEE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056783

License Status

CANCELLED

Business

Title

First Name

ANNEVAY

Middle

DELLORA

Last Name

CONLEE

Business Name

ANNEVAY DELLORA CONLEE MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

GALESBURG

State

Zip

61401

County

KNOX

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/15/2009