ANN E KLASNER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000230

License Status

EXPIRED

Business

First Name

ANN

Middle

Last Name

KLASNER

Business Name

ANN E KLASNER

Original Issue Date

11/09/1993

Effective Date

11/09/1993

Expiration Date

04/06/1994

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/25/2006