GRACE ANNE KUMOR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077937

License Status

CANCELLED

Business

Title

First Name

GRACE

Middle

ANNE

Last Name

KUMOR

Business Name

GRACE ANNE KUMOR MD

Original Issue Date

10/03/2024

Effective Date

10/03/2024

Expiration Date

10/02/2025

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

07/21/2025