JAMES DRAKE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071457

License Status

EXPIRED

Business

Title

First Name

JAMES

Last Name

DRAKE

Business Name

JAMES DRAKE MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

03/06/2024