KENNETH EUGENE AMBROSE MD - Medical Doctor License in Illinois | # 036033463

KENNETH EUGENE AMBROSE MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036033463

License Status

INACTIVE

Business

N

First Name

KENNETH EUGENE

Last Name

AMBROSE

Suffix

MD

Business Name

KENNETH EUGENE AMBROSE MD

Original Issue Date

05/26/1955

Effective Date

07/31/2006

Expiration Date

07/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

04/25/2008