NAOMI KIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077105

License Status

EXPIRED

Business

Title

First Name

NAOMI

Last Name

KIS

Business Name

NAOMI KIS MD

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

06/30/2025

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

11/03/2025