TIMEA ADINA MAXIM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072829

License Status

CANCELLED

Business

Title

First Name

TIMEA

Middle

ADINA

Last Name

MAXIM

Business Name

TIMEA ADINA MAXIM MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/16/2018