KENNETH S SHEPARD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036029995

License Status

NOT RENEWED

Business

First Name

KENNETH S

Last Name

SHEPARD

Suffix

Business Name

KENNETH S SHEPARD MD

Original Issue Date

05/31/1950

Effective Date

05/31/1950

City

SCOTT AFB

State

Zip

62225

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/20/2006