KATHLEEN LEA SUMMERS Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

ACTIVE

Business

First Name

KATHLEEN

Middle

LEA

Last Name

SUMMERS

Business Name

KATHLEEN LEA SUMMERS

Original Issue Date

01/25/2001

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023