CODY MCEWEN CHRISTENSEN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057965

License Status

EXPIRED

Business

Title

First Name

CODY

Middle

MCEWEN

Last Name

CHRISTENSEN

Business Name

CODY MCEWEN CHRISTENSEN DO

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2015

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/04/2015