CARISSA LYNN KLAAS MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****35

NOT RENEWED

N

MD

CARISSA

LYNN

KLAAS

CARISSA LYNN KLAAS MD

06/12/2013

06/13/2014

07/31/2017

SPRINGFIELD

IL

62704

SANGAMON

PRACTITIONER

II III IV V

N

04/05/2020