KATHLEEN COYLE AMYOT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

COYLE

Last Name

AMYOT

Suffix

Business Name

KATHLEEN COYLE AMYOT MD

Original Issue Date

10/03/2002

Effective Date

10/03/2002

Expiration Date

07/31/2008

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008