CHRISTINE A DEWITT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044013

License Status

EXPIRED

Business

First Name

CHRISTINE

Middle

Last Name

DEWITT

Suffix

Business Name

CHRISTINE A DEWITT MD

Original Issue Date

06/26/2002

Effective Date

06/26/2002

Expiration Date

06/25/2006

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

09/22/2006