KENNETH R DIDDIE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050025

License Status

NOT RENEWED

Business

First Name

KENNETH R

Last Name

DIDDIE

Suffix

Business Name

KENNETH R DIDDIE MD

Original Issue Date

10/10/1974

Effective Date

07/25/2011

Expiration Date

07/31/2014

City

WESTLAKE VILLAGE

State

Zip

91361

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/17/2014