MICHAEL JOHN ENDRIS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069211

License Status

CANCELLED

Business

Title

First Name

MICHAEL

Middle

JOHN

Last Name

ENDRIS

Business Name

MICHAEL JOHN ENDRIS MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/11/2016