KATHRYN CAMILLE DIMICELI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125169

License Status

NOT RENEWED

Business

Title

First Name

KATHRYN

Middle

CAMILLE

Last Name

DIMICELI

Business Name

KATHRYN CAMILLE DIMICELI MD

Original Issue Date

03/12/2010

Effective Date

03/12/2010

Expiration Date

07/31/2011

City

SAN ANTONIO

State

Zip

78238

County

TEXAS

Ever Disciplined

LastModifiedDate

11/14/2011