PAUL EARL LOETHEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048399

License Status

EXPIRED

Business

First Name

PAUL

Middle

EARL

Last Name

LOETHEN

Suffix

Business Name

PAUL EARL LOETHEN MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2009

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

07/15/2009