PATRICIA A KINNE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

PATRICIA

Middle

Last Name

KINNE

Business Name

PATRICIA A KINNE

Original Issue Date

03/23/2009

Effective Date

03/21/2012

Expiration Date

07/31/2014

City

GALESBURG

State

Zip

61401

County

KNOX

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014