MARY KATHERINE IMIG DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073010

License Status

CANCELLED

Business

Title

First Name

MARY

Middle

KATHERINE

Last Name

IMIG

Business Name

MARY KATHERINE IMIG DO

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

MORTON

State

Zip

61550

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/30/2018