DEATRICE LUMAE KELLOGG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032933

License Status

EXPIRED

Business

First Name

DEATRICE

Middle

LUMAE

Last Name

KELLOGG

Suffix

Business Name

DEATRICE LUMAE KELLOGG MD

Original Issue Date

06/01/1995

Effective Date

06/01/1995

Expiration Date

06/30/1998

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006