KATIE ANN MARRERO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074891

License Status

EXPIRED

Business

Title

First Name

KATIE

Middle

ANN

Last Name

MARRERO

Business Name

KATIE ANN MARRERO MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2024

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

10/30/2024