ANDREW LEE VINCENT DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058092

License Status

CANCELLED

Business

Title

First Name

ANDREW

Middle

LEE

Last Name

VINCENT

Business Name

ANDREW LEE VINCENT DO

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/26/2010