KATHERINE LOUISE MAIETTA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055040

License Status

CANCELLED

Business

Title

First Name

KATHERINE

Middle

LOUISE

Last Name

MAIETTA

Business Name

KATHERINE LOUISE MAIETTA MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

MAYWOOD

State

Zip

60153

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

05/07/2008