LAUREN KIYOKO HINTZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072262

License Status

CANCELLED

Business

Title

First Name

LAUREN

Middle

KIYOKO

Last Name

HINTZ

Business Name

LAUREN KIYOKO HINTZ MD

Original Issue Date

06/23/2018

Effective Date

06/23/2018

Expiration Date

06/22/2021

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

04/11/2018