MATTHEW RUSSELL GAFFNEY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073310

License Status

CANCELLED

Business

Title

First Name

MATTHEW

Middle

RUSSELL

Last Name

GAFFNEY

Business Name

MATTHEW RUSSELL GAFFNEY MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2022

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

04/13/2021