ARI ALEXANDRA PENCE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071936

License Status

EXPIRED

Business

Title

First Name

ARI

Middle

ALEXANDRA

Last Name

PENCE

Business Name

ARI ALEXANDRA PENCE MD

Original Issue Date

06/23/2018

Effective Date

06/23/2018

Expiration Date

06/22/2021

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/19/2018