ADELA SERRANO MAGALLANES MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001223

License Status

EXPIRED

Business

Title

First Name

ADELA

Middle

SERRANO

Last Name

MAGALLANES

Business Name

ADELA SERRANO MAGALLANES MD

Original Issue Date

07/02/2018

Effective Date

07/02/2018

Expiration Date

08/01/2018

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

12/04/2018