KRISTEN J TOWNLEY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110894

License Status

NOT RENEWED

Business

First Name

KRISTEN

Middle

Last Name

TOWNLEY

Business Name

KRISTEN J TOWNLEY

Original Issue Date

03/01/2004

Effective Date

03/01/2004

Expiration Date

07/31/2005

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/09/2006