NICOLE SHANTELL LINN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060395

License Status

EXPIRED

Business

Title

First Name

NICOLE

Middle

SHANTELL

Last Name

LINN

Business Name

NICOLE SHANTELL LINN MD

Original Issue Date

07/21/2014

Effective Date

07/21/2014

Expiration Date

07/20/2015

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

09/04/2015