KATELYN NICOLE PRATT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068203

License Status

EXPIRED

Business

Title

First Name

KATELYN

Middle

NICOLE

Last Name

PRATT

Prefix

Business Name

KATELYN NICOLE PRATT MD

Original Issue Date

06/26/2019

Effective Date

06/26/2019

Expiration Date

06/25/2020

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

11/19/2020