DONALD J MCINTIRE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000162

License Status

EXPIRED

Business

First Name

DONALD

Middle

Last Name

MCINTIRE

Business Name

DONALD J MCINTIRE

Original Issue Date

12/09/1991

Effective Date

12/09/1991

Expiration Date

02/08/1992

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/25/2006