BRENDAN DEAN MINARDI DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067866

License Status

CANCELLED

Business

Title

First Name

BRENDAN

Middle

DEAN

Last Name

MINARDI

Business Name

BRENDAN DEAN MINARDI DO

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

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

05/29/2018