KERLINE DUCTAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057835

License Status

CANCELLED

Business

Title

First Name

KERLINE

Last Name

DUCTAN

Business Name

KERLINE DUCTAN MD

Original Issue Date

06/24/2010

Effective Date

06/24/2010

Expiration Date

06/23/2013

City

NORMAL

State

Zip

61761

County

MCLEAN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/17/2010