ELIZABETH CLAIRE EWING MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065069

License Status

CANCELLED

Business

Title

First Name

ELIZABETH

Middle

CLAIRE

Last Name

EWING

Business Name

ELIZABETH CLAIRE EWING MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

07/21/2017

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/04/2017