KENNETH HOMER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036070360

License Status

INACTIVE

Business

First Name

KENNETH

Last Name

HOMER

Suffix

Business Name

KENNETH HOMER MD

Original Issue Date

04/15/1985

Effective Date

04/15/1985

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006