KEVAN C HEROLD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064915

License Status

NOT RENEWED

Business

First Name

KEVAN C

Last Name

HEROLD

Suffix

Business Name

KEVAN C HEROLD MD

Original Issue Date

07/30/1982

Effective Date

07/30/1982

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006