KOLEEN K BARNELL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020402

License Status

EXPIRED

Business

First Name

KOLEEN K

Last Name

BARNELL

Suffix

Business Name

KOLEEN K BARNELL MD

Original Issue Date

01/08/1987

Effective Date

01/08/1987

Expiration Date

12/30/1989

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006