KATHY J KOWALKE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023138

License Status

EXPIRED

Business

First Name

KATHY J

Last Name

KOWALKE

Suffix

Business Name

KATHY J KOWALKE MD

Original Issue Date

08/22/1988

Effective Date

08/22/1988

Expiration Date

08/19/1991

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006