TIMOTHY G PARKER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000940

License Status

EXPIRED

Business

First Name

TIMOTHY

Middle

Last Name

PARKER

Business Name

TIMOTHY G PARKER

Original Issue Date

05/01/2021

Effective Date

05/01/2021

Expiration Date

10/30/2021

City

ROCKFORD

State

Zip

61108

Specialty/Qualifier

Trauma Rotation

Ever Disciplined

LastModifiedDate

10/11/2022