KIM MATTHEW TREVIRANUS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061910

License Status

ACTIVE

Business

First Name

KIM MATTHEW

Last Name

TREVIRANUS

Suffix

Business Name

KIM MATTHEW TREVIRANUS MD

Original Issue Date

04/02/1981

Effective Date

04/25/2023

Expiration Date

07/31/2026

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

04/25/2023