KERRILYN TARGOS HEWELL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075867

License Status

EXPIRED

Business

Title

First Name

KERRILYN

Middle

TARGOS

Last Name

HEWELL

Business Name

KERRILYN TARGOS HEWELL 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

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

04/29/2020