KATHERINE STEALEY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047552

License Status

CANCELLED

Business

Title

First Name

KATHERINE

Last Name

STEALEY

Business Name

KATHERINE STEALEY MD

Original Issue Date

06/24/2007

Effective Date

06/24/2007

Expiration Date

06/23/2008

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

05/16/2007