KENNETH J MALMBERG M D Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036020936

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

JOHN

Last Name

MALMBERG

Suffix

Business Name

KENNETH J MALMBERG M D

Original Issue Date

08/14/1935

Effective Date

08/14/1935

Expiration Date

07/31/1996

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/20/2006