BRIAN THOMAS BAMER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063229

License Status

CANCELLED

Business

Title

First Name

BRIAN

Middle

THOMAS

Last Name

BAMER

Business Name

BRIAN THOMAS BAMER MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/24/2014