KATHERINE R VICKERY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084706

License Status

NOT RENEWED

Business

First Name

KATHERINE R

Last Name

VICKERY

Suffix

Business Name

KATHERINE R VICKERY MD

Original Issue Date

07/01/1992

Effective Date

07/01/1992

Expiration Date

07/31/1999

City

SANTA ROSA

State

Zip

95409

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006