THOMAS EDWARD HANLEY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073696

License Status

CANCELLED

Business

Title

First Name

THOMAS

Middle

EDWARD

Last Name

HANLEY

Business Name

THOMAS EDWARD HANLEY MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2024

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

04/11/2022