KENNETH SCOTT WAYNE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088018

License Status

INACTIVE

Business

First Name

KENNETH SCOTT

Last Name

WAYNE

Suffix

Business Name

KENNETH SCOTT WAYNE MD

Original Issue Date

02/11/1994

Effective Date

02/11/1994

Expiration Date

07/31/1996

City

OTTUMWA

State

Zip

52501

County

IOWA

Ever Disciplined

LastModifiedDate

09/20/2006