JULIE KAY WITTENAUER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051855

License Status

CANCELLED

Business

Title

First Name

JULIE

Middle

KAY

Last Name

WITTENAUER

Business Name

JULIE KAY WITTENAUER MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006