DIANE RENEE TRAENKLE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000304

License Status

EXPIRED

Business

First Name

DIANE RENEE

Last Name

TRAENKLE

Business Name

DIANE RENEE TRAENKLE

Original Issue Date

10/12/1995

Effective Date

10/12/1995

Expiration Date

12/31/1995

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/25/2006