KELSEY ANN LEGRO DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074141

License Status

EXPIRED

Business

Title

First Name

KELSEY

Middle

ANN

Last Name

LEGRO

Business Name

KELSEY ANN LEGRO DO

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

10/11/2022