KATHRYN ELIZABETH LAFANS DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074789

License Status

EXPIRED

Business

Title

First Name

KATHRYN

Middle

ELIZABETH

Last Name

LAFANS

Business Name

KATHRYN ELIZABETH LAFANS DO

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

PEORIA

State

Zip

61605

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

10/11/2022