ANNE KATHRYN DEGREVE DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062289

License Status

CANCELLED

Business

Title

First Name

ANNE

Middle

KATHRYN

Last Name

DEGREVE

Business Name

ANNE KATHRYN DEGREVE DO

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

Family Practice

Ever Disciplined

LastModifiedDate

03/24/2014