KENNETH JAMES CAVANAUGH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041007

License Status

NOT RENEWED

Business

First Name

KENNETH JAMES

Last Name

CAVANAUGH

Suffix

Business Name

KENNETH JAMES CAVANAUGH MD

Original Issue Date

05/25/1967

Effective Date

05/25/1967

City

LONGMONT

State

Zip

80501

County

COLORADO

Ever Disciplined

LastModifiedDate

09/20/2006