NOLAN KYLE WINSLOW MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068677

License Status

EXPIRED

Business

Title

First Name

NOLAN

Middle

KYLE

Last Name

WINSLOW

Business Name

NOLAN KYLE WINSLOW MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2023

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

03/06/2024