TANDY MARIE AGOSTINI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075744

License Status

EXPIRED

Business

Title

First Name

TANDY

Middle

MARIE

Last Name

AGOSTINI

Business Name

TANDY MARIE AGOSTINI MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

PEORIA

State

Zip

61605

Specialty/Qualifier

Gastroenterology

Ever Disciplined

LastModifiedDate

03/06/2024