KATHY J KOWALKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081765

License Status

NOT RENEWED

Business

First Name

KATHY J

Last Name

KOWALKE

Suffix

Business Name

KATHY J KOWALKE MD

Original Issue Date

11/03/1990

Effective Date

11/03/1990

Expiration Date

07/31/1993

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/20/2006