KOLEEN K BARNELL MD - Medical Doctor License in Illinois | # 125020402

KOLEEN K BARNELL MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020402

License Status

EXPIRED

Business

N

First Name

KOLEEN K

Last Name

BARNELL

Suffix

MD

Business Name

KOLEEN K BARNELL MD

Original Issue Date

01/08/1987

Effective Date

01/08/1987

Expiration Date

12/30/1989

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006