DAVID B KLUGE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047633

License Status

EXPIRED

Business

First Name

DAVID

Middle

Last Name

KLUGE

Suffix

Business Name

DAVID B KLUGE MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2009

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

07/15/2009