BRIAN P KLOSTERMANN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056237

License Status

CANCELLED

Business

Title

First Name

BRIAN

Middle

Last Name

KLOSTERMANN

Business Name

BRIAN P KLOSTERMANN MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

BREESE

State

Zip

62230

County

CLINTON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/07/2009