KENNETH EUGENE AMBROSE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036033463

License Status

INACTIVE

Business

First Name

KENNETH EUGENE

Last Name

AMBROSE

Suffix

Business Name

KENNETH EUGENE AMBROSE MD

Original Issue Date

05/26/1955

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

MONMOUTH

State

Zip

61462

County

WARREN

Ever Disciplined

LastModifiedDate

04/25/2008