SALLY KATHLEEN HINMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

Title

First Name

SALLY

Middle

KATHLEEN

Last Name

HINMAN

Business Name

SALLY KATHLEEN HINMAN MD

Original Issue Date

08/21/2017

Effective Date

08/21/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61605

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021