ALICIA D ALTHEIMER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067576

License Status

CANCELLED

Business

Title

First Name

ALICIA

Middle

Last Name

ALTHEIMER

Business Name

ALICIA D ALTHEIMER MD

Original Issue Date

06/26/2015

Effective Date

06/26/2015

Expiration Date

06/25/2018

City

CHATHAM

State

Zip

62629

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/10/2015