ABIGAIL BUCKHOLZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075777

License Status

CANCELLED

Business

Title

First Name

ABIGAIL

Last Name

BUCKHOLZ

Business Name

ABIGAIL BUCKHOLZ MD

Original Issue Date

06/26/2020

Effective Date

06/26/2020

Expiration Date

06/25/2023

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Internal Medicine/Psychiatry

Ever Disciplined

LastModifiedDate

04/28/2020