ALEXIS RENEE PRIDDY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080540

License Status

CANCELLED

Business

Title

First Name

ALEXIS

Middle

RENEE

Last Name

PRIDDY

Business Name

ALEXIS RENEE PRIDDY MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

City

PEORIA

State

Zip

61605

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

11/13/2024