KATHLEEN M BOTTUM - Medical Doctor License in Illinois | # 125036751

KATHLEEN M BOTTUM

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036751

License Status

EXPIRED

Business

N

First Name

KATHLEEN

Middle

M

Last Name

BOTTUM

Business Name

KATHLEEN M BOTTUM

Original Issue Date

06/16/1997

Effective Date

06/16/1997

Expiration Date

06/26/2002

State

IL

Ever Disciplined

N

LastModifiedDate

09/22/2006