KENNETH B BOTSFORD MD - Medical Doctor License in Illinois | # 036064498

KENNETH B BOTSFORD MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064498

License Status

NOT RENEWED

Business

N

First Name

KENNETH B

Last Name

BOTSFORD

Suffix

MD

Business Name

KENNETH B BOTSFORD MD

Original Issue Date

06/18/1982

Effective Date

06/18/1982

Expiration Date

07/31/1984

State

IL

Ever Disciplined

N

LastModifiedDate

10/23/2007