KEVIN DE WAYNE CARR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163078

License Status

ACTIVE

Business

Title

First Name

KEVIN

Middle

DE WAYNE

Last Name

CARR

Business Name

KEVIN DE WAYNE CARR MD

Original Issue Date

12/03/2022

Effective Date

06/10/2023

Expiration Date

07/31/2026

City

MIDDLETOWN

State

Zip

06457

Ever Disciplined

LastModifiedDate

12/11/2024