KATHLEEN MARIE FIEGEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

MARIE

Last Name

FIEGEN

Suffix

Business Name

KATHLEEN MARIE FIEGEN MD

Original Issue Date

08/26/2002

Effective Date

08/26/2002

Expiration Date

07/31/2008

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011