KIMBERLY STEPHANIE AU MD - Medical Doctor License in Illinois | # 125064698

KIMBERLY STEPHANIE AU MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064698

License Status

CANCELLED

Business

N

Title

MD

First Name

KIMBERLY

Middle

STEPHANIE

Last Name

AU

Business Name

KIMBERLY STEPHANIE AU MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

05/22/2014