ALLISON KATE RETZER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065665

License Status

EXPIRED

Business

Title

First Name

ALLISON

Middle

KATE

Last Name

RETZER

Business Name

ALLISON KATE RETZER MD

Original Issue Date

06/26/2017

Effective Date

06/26/2017

Expiration Date

06/25/2019

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

10/02/2019