KATIE A AWAD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062461

License Status

CANCELLED

Business

Title

First Name

KATIE

Middle

Last Name

AWAD

Business Name

KATIE A AWAD MD

Original Issue Date

07/19/2012

Effective Date

07/19/2012

Expiration Date

07/18/2015

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/24/2014