DANIEL FORREST CHILD DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062820

License Status

CANCELLED

Business

Title

First Name

DANIEL

Middle

FORREST

Last Name

CHILD

Business Name

DANIEL FORREST CHILD DO

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

Family Practice

Ever Disciplined

LastModifiedDate

03/24/2014