DAHLIA BELKIN PEASE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113468

License Status

NOT RENEWED

Business

First Name

DAHLIA

Middle

BELKIN

Last Name

PEASE

Suffix

Business Name

DAHLIA BELKIN PEASE DO

Original Issue Date

04/18/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

BELLEVUE

State

Zip

68123

County

PEORIA

Ever Disciplined

LastModifiedDate

05/12/2011