DEATRICE LUMAE KELLOGG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097679

License Status

NOT RENEWED

Business

First Name

DEATRICE

Middle

LUMAE

Last Name

KELLOGG

Suffix

Business Name

DEATRICE LUMAE KELLOGG MD

Original Issue Date

04/17/1998

Effective Date

04/05/2011

Expiration Date

07/31/2014

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

11/17/2014