TIMOTHY J WILLIAMS Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060701

License Status

CANCELLED

Business

First Name

TIMOTHY

Middle

Last Name

WILLIAMS

Business Name

TIMOTHY J WILLIAMS

Original Issue Date

08/02/2011

Effective Date

08/02/2011

Expiration Date

08/01/2014

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

08/02/2011