TYLER WOLCOTT FITCH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061142

License Status

CANCELLED

Business

Title

First Name

TYLER

Middle

WOLCOTT

Last Name

FITCH

Business Name

TYLER WOLCOTT FITCH MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2016

City

PEORIA

State

Zip

61637

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

04/01/2015