DAVID D DRAGOO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067717

License Status

EXPIRED

Business

Title

First Name

DAVID

Middle

Last Name

DRAGOO

Business Name

DAVID D DRAGOO MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2020

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

11/19/2020