MANDIE GENEIL PRIOR DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081049

License Status

EXPIRED

Business

Title

First Name

MANDIE

Middle

GENEIL

Last Name

PRIOR

Business Name

MANDIE GENEIL PRIOR DO

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

11/03/2025