RACHEL EMILY IMMEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000562

License Status

NOT RENEWED

Business

Title

First Name

RACHEL

Middle

EMILY

Last Name

IMMEN

Business Name

RACHEL EMILY IMMEN MD

Original Issue Date

11/18/2013

Effective Date

11/18/2013

Expiration Date

05/17/2014

City

TOWANDA

State

Zip

61776

County

MCLEAN

Specialty/Qualifier

Psychiatry/Family Practice

Ever Disciplined

LastModifiedDate

08/12/2014