KATHERINE ANNE KOSIV MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061915

License Status

EXPIRED

Business

Title

First Name

KATHERINE

Middle

ANNE

Last Name

KOSIV

Business Name

KATHERINE ANNE KOSIV MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/04/2015