KATHIA RAPHAEL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072895

License Status

EXPIRED

Business

Title

First Name

KATHIA

Last Name

RAPHAEL

Business Name

KATHIA RAPHAEL MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/11/2022