ANDREW RICHARD KLANN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054282

License Status

EXPIRED

Business

Title

First Name

ANDREW

Middle

RICHARD

Last Name

KLANN

Business Name

ANDREW RICHARD KLANN DO

Original Issue Date

06/26/2008

Effective Date

06/26/2008

Expiration Date

06/25/2011

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/19/2011