JEFFERSON D KYLE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050090

License Status

NOT RENEWED

Business

First Name

JEFFERSON D

Last Name

KYLE

Suffix

Business Name

JEFFERSON D KYLE MD

Original Issue Date

10/10/1974

Effective Date

10/10/1974

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/20/2006