KAITLYN MARIE BROWN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077586

License Status

CANCELLED

Business

Title

First Name

KAITLYN

Middle

MARIE

Last Name

BROWN

Business Name

KAITLYN MARIE BROWN DO

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

04/26/2021