JAMIE MARIE KAUFFMAN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112254

License Status

NOT RENEWED

Business

First Name

JAMIE

Middle

MARIE

Last Name

KAUFFMAN

Suffix

Business Name

JAMIE MARIE KAUFFMAN DO

Original Issue Date

09/02/2004

Effective Date

09/02/2004

Expiration Date

07/31/2005

City

PEORIA

State

Zip

61602

County

PEORIA

Ever Disciplined

LastModifiedDate

10/09/2006