KEVIN O BELGRAVE - Medical Doctor License in Illinois | # 130001033

KEVIN O BELGRAVE

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001033

License Status

NOT RENEWED

Business

N

First Name

KEVIN

Middle

O

Last Name

BELGRAVE

Business Name

KEVIN O BELGRAVE

Original Issue Date

03/02/2015

Effective Date

03/02/2015

Expiration Date

04/01/2015

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

01/07/2016