JULIE MARIE MCDANIEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075326

License Status

CANCELLED

Business

Title

First Name

JULIE

Middle

MARIE

Last Name

MCDANIEL

Business Name

JULIE MARIE MCDANIEL MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2021

City

NORMAL

State

Zip

61761

County

MCLEAN

Specialty/Qualifier

Clinical Neurophysiology

Ever Disciplined

LastModifiedDate

11/19/2019