ELIZABETH ANN NIETERT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051536

License Status

EXPIRED

Business

Title

First Name

ELIZABETH

Middle

ANN

Last Name

NIETERT

Business Name

ELIZABETH ANN NIETERT MD

Original Issue Date

06/25/2009

Effective Date

06/25/2009

Expiration Date

06/24/2010

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

06/24/2010