COLLIN INNIS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076493

License Status

EXPIRED

Business

First Name

COLLIN

Last Name

INNIS

Business Name

COLLIN INNIS

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2021

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

10/11/2022