KAREN A DIEFENBACH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034059

License Status

EXPIRED

Business

First Name

KAREN

Middle

Last Name

DIEFENBACH

Suffix

Business Name

KAREN A DIEFENBACH MD

Original Issue Date

04/29/1996

Effective Date

04/29/1996

Expiration Date

06/30/2001

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006