KERSTIN IRIS G VITUG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050408

License Status

CANCELLED

Business

First Name

KERSTIN

Middle

IRIS G

Last Name

VITUG

Suffix

Business Name

KERSTIN IRIS G VITUG MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006