KACI LYNE DURBIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129427

License Status

NOT RENEWED

Business

Title

First Name

KACI

Middle

LYNE

Last Name

DURBIN

Business Name

KACI LYNE DURBIN MD

Original Issue Date

01/04/2012

Effective Date

05/17/2017

Expiration Date

09/30/2020

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

01/14/2021