NASTASIA MAGDA DOUYON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060281

License Status

EXPIRED

Business

First Name

NASTASIA

Middle

MAGDA

Last Name

DOUYON

Business Name

NASTASIA MAGDA DOUYON

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2015

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

09/04/2015