KENNETH LEE MEREDITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

Title

First Name

KENNETH

Middle

LEE

Last Name

MEREDITH

Business Name

KENNETH LEE MEREDITH MD

Original Issue Date

11/22/2013

Effective Date

07/25/2014

Expiration Date

07/31/2017

City

SARASOTA

State

Zip

34239

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/02/2017