KATHLEEN LEA SUMMERS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038064

License Status

EXPIRED

Business

First Name

KATHLEEN

Middle

LEA

Last Name

SUMMERS

Business Name

KATHLEEN LEA SUMMERS

Original Issue Date

06/26/1998

Effective Date

06/26/1998

Expiration Date

06/25/2001

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006