KATHRYN LAINE DEMITRUK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072999

License Status

EXPIRED

Business

Title

First Name

KATHRYN

Middle

LAINE

Last Name

DEMITRUK

Business Name

KATHRYN LAINE DEMITRUK 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