KIM M TREVIRANUS MD SC Medical Corporation License verification

Business Entity

CANCELLED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042006206

License Status

CANCELLED

Business

Business Name

KIM M TREVIRANUS MD SC

Original Issue Date

07/06/1987

Effective Date

07/06/1987

Expiration Date

01/01/1988

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

09/26/2006