CASEY BRANT LYTHGOE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058373

License Status

EXPIRED

Business

First Name

CASEY

Middle

BRANT

Last Name

LYTHGOE

Suffix

Business Name

CASEY BRANT LYTHGOE MD

Original Issue Date

06/26/2013

Effective Date

06/26/2013

Expiration Date

06/25/2015

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

09/04/2015