KATHLEEN MARIE EHLBECK COE DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069323

License Status

CANCELLED

Business

Title

First Name

KATHLEEN

Middle

MARIE

Last Name

EHLBECK COE

Business Name

KATHLEEN MARIE EHLBECK COE DO

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/09/2016