KATERINA CANIESO DORONILA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046833

License Status

EXPIRED

Business

First Name

KATERINA

Middle

CANIESO

Last Name

DORONILA

Suffix

Business Name

KATERINA CANIESO DORONILA MD

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2006

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006