KATHLEEN LEA SUMMERS Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103814

License Status

ACTIVE

Business

First Name

KATHLEEN

Middle

LEA

Last Name

SUMMERS

Business Name

KATHLEEN LEA SUMMERS

Original Issue Date

11/16/2000

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

04/07/2023