KATHLEEN K FOURNIER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114966

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

Last Name

FOURNIER

Suffix

Business Name

KATHLEEN K FOURNIER MD

Original Issue Date

12/12/2005

Effective Date

06/04/2008

Expiration Date

07/31/2011

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

11/14/2011