KENNETH B BOTSFORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064498

License Status

NOT RENEWED

Business

First Name

KENNETH B

Last Name

BOTSFORD

Suffix

Business Name

KENNETH B BOTSFORD MD

Original Issue Date

06/18/1982

Effective Date

06/18/1982

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

10/23/2007