LILIANA MARIA PALENCIA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068173

License Status

EXPIRED

Business

Title

First Name

LILIANA

Middle

MARIA

Last Name

PALENCIA

Business Name

LILIANA MARIA PALENCIA MD

Original Issue Date

06/26/2019

Effective Date

06/26/2019

Expiration Date

06/25/2020

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

11/19/2020