RICHARD ERIC KAST MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060366

License Status

NOT RENEWED

Business

First Name

RICHARD ERIC

Last Name

KAST

Suffix

Business Name

RICHARD ERIC KAST MD

Original Issue Date

06/06/1980

Effective Date

06/06/1980

Expiration Date

07/31/1987

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

09/20/2006