NOLAN ALEXANDER REED MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070173

License Status

EXPIRED

Business

Title

First Name

NOLAN

Middle

ALEXANDER

Last Name

REED

Business Name

NOLAN ALEXANDER REED MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2022

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

10/11/2022