NAOMI MIRIAM WHITTAKER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063321

License Status

EXPIRED

Business

First Name

NAOMI

Middle

MIRIAM

Last Name

WHITTAKER

Suffix

Business Name

NAOMI MIRIAM WHITTAKER MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2017

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

10/25/2018