ABBIE CRISTINE MASSENGILL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067336

License Status

CANCELLED

Business

Title

First Name

ABBIE

Middle

CRISTINE

Last Name

MASSENGILL

Business Name

ABBIE CRISTINE MASSENGILL MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2019

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

05/08/2018