ADAM CLAYTON STURDAVANT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060544

License Status

CANCELLED

Business

Title

First Name

ADAM

Middle

CLAYTON

Last Name

STURDAVANT

Business Name

ADAM CLAYTON STURDAVANT MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

PEORIA

State

Zip

61615

County

PEORIA

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/24/2014