KATHLEEN AUDREY MEYER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127882

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

AUDREY

Last Name

MEYER

Suffix

Business Name

KATHLEEN AUDREY MEYER MD

Original Issue Date

05/18/2011

Effective Date

05/18/2011

Expiration Date

07/31/2014

City

ALBUQUERQUE

State

Zip

87122

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

11/17/2014