LEWIS ROBERT KINKEAD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051352

License Status

NOT RENEWED

Business

First Name

LEWIS ROBERT

Last Name

KINKEAD

Suffix

Business Name

LEWIS ROBERT KINKEAD MD

Original Issue Date

08/12/1975

Effective Date

08/12/1975

Expiration Date

07/31/1984

City

PEORIA

State

Zip

61637

County

PEORIA

Ever Disciplined

LastModifiedDate

09/20/2006