KEVIN D HEATH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036087509

License Status

INACTIVE

Business

First Name

KEVIN D

Last Name

HEATH

Suffix

Business Name

KEVIN D HEATH MD

Original Issue Date

10/04/1993

Effective Date

10/04/1993

Expiration Date

07/31/1996

City

CONWAY

State

Zip

72034

County

ALASKA

Ever Disciplined

LastModifiedDate

09/20/2006