KEVIN M SPITLER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061484

License Status

EXPIRED

Business

First Name

KEVIN

Middle

Last Name

SPITLER

Suffix

Business Name

KEVIN M SPITLER MD

Original Issue Date

06/04/2012

Effective Date

06/04/2012

Expiration Date

06/03/2013

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/03/2013