CHRISTINE A DEWITT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115731

License Status

NOT RENEWED

Business

First Name

CHRISTINE

Middle

Last Name

DEWITT

Suffix

Business Name

CHRISTINE A DEWITT MD

Original Issue Date

04/19/2006

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

WASHINGTON

State

Zip

20001

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/06/2008