SHAMAILA B GORSI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060709

License Status

EXPIRED

Business

First Name

SHAMAILA

Middle

Last Name

GORSI

Suffix

Business Name

SHAMAILA B GORSI MD

Original Issue Date

08/19/2014

Effective Date

08/19/2014

Expiration Date

08/18/2015

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/06/2014