ANASTASIA MARIE DUFNER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074476

License Status

CANCELLED

Business

Title

First Name

ANASTASIA

Middle

MARIE

Last Name

DUFNER

Business Name

ANASTASIA MARIE DUFNER MD

Original Issue Date

06/26/2019

Effective Date

06/26/2019

Expiration Date

06/25/2022

City

GILLESPIE

State

Zip

62033

County

MACOUPIN

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/31/2019