KATIE MERIB BITTNER DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063365

License Status

CANCELLED

Business

Title

First Name

KATIE

Middle

MERIB

Last Name

BITTNER

Business Name

KATIE MERIB BITTNER DO

Original Issue Date

06/30/2013

Effective Date

06/30/2013

Expiration Date

06/29/2016

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/24/2014