KELLI LOUISE SASADA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053000

License Status

EXPIRED

Business

First Name

KELLI

Middle

LOUISE

Last Name

SASADA

Suffix

Business Name

KELLI LOUISE SASADA MD

Original Issue Date

06/25/2007

Effective Date

06/25/2007

Expiration Date

06/24/2010

City

PLEASANT PRAIRIE

State

Zip

53158

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

06/24/2010