CHRISTIAN ALEXIS PEREZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060534

License Status

CANCELLED

Business

Title

First Name

CHRISTIAN

Middle

ALEXIS

Last Name

PEREZ

Business Name

CHRISTIAN ALEXIS PEREZ MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

05/31/2011