CATHERINE BERATIO NULLMEYER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057114

License Status

CANCELLED

Business

Title

First Name

CATHERINE

Middle

BERATIO

Last Name

NULLMEYER

Business Name

CATHERINE BERATIO NULLMEYER MD

Original Issue Date

06/23/2009

Effective Date

06/23/2009

Expiration Date

06/22/2012

City

MORTON

State

Zip

61550

County

TAZEWELL

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/23/2009