DOUGLAS JOHN KASPER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054048

License Status

EXPIRED

Business

Title

First Name

DOUGLAS

Middle

JOHN

Last Name

KASPER

Business Name

DOUGLAS JOHN KASPER MD

Original Issue Date

06/22/2008

Effective Date

06/22/2008

Expiration Date

06/21/2011

City

PEORIA

State

Zip

61637

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/19/2011