KATHLEEN MARIE FIEGEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107701

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

MARIE

Last Name

FIEGEN

Suffix

Business Name

KATHLEEN MARIE FIEGEN MD

Original Issue Date

08/20/2002

Effective Date

07/29/2008

Expiration Date

07/31/2011

City

SPRINGFIELD

State

Zip

65807

Ever Disciplined

LastModifiedDate

11/14/2011