KAITLYN E ALICZ DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125085722

License Status

ACTIVE

Business

Title

First Name

KAITLYN

Middle

Last Name

ALICZ

Business Name

KAITLYN E ALICZ DO

Original Issue Date

06/26/2025

Effective Date

06/26/2025

Expiration Date

06/25/2028

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

05/13/2025