KENNETH R BARBA - Medical Doctor License in Illinois | # 125033060

KENNETH R BARBA

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033060

License Status

EXPIRED

Business

N

First Name

KENNETH

Middle

R

Last Name

BARBA

Business Name

KENNETH R BARBA

Original Issue Date

06/06/1995

Effective Date

06/06/1995

Expiration Date

06/25/1999

State

IL

Specialty/Qualifier

Ophthalmology

Ever Disciplined

N

LastModifiedDate

09/22/2006