DEATRICE LUMAE KELLOGG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

First Name

DEATRICE

Middle

LUMAE

Last Name

KELLOGG

Suffix

Business Name

DEATRICE LUMAE KELLOGG MD

Original Issue Date

06/05/1998

Effective Date

06/15/2011

Expiration Date

07/31/2014

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014