SEAN AMIT CORNELIUS DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069385

License Status

CANCELLED

Business

Title

First Name

SEAN

Middle

AMIT

Last Name

CORNELIUS

Business Name

SEAN AMIT CORNELIUS DO

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Family Medicine and OMT

Ever Disciplined

LastModifiedDate

06/02/2016