ANTIGONI KENCOS MD - Medical Doctor License in Indiana | # 036046956

ANTIGONI KENCOS MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046956

License Status

NOT RENEWED

Business

N

First Name

ANTIGONI

Last Name

KENCOS

Suffix

MD

Business Name

ANTIGONI KENCOS MD

Original Issue Date

02/07/1973

Effective Date

02/07/1973

Expiration Date

07/31/2005

State

IN

Ever Disciplined

N

LastModifiedDate

10/09/2006