DAVID B KWIAT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077234

License Status

NOT RENEWED

Business

First Name

DAVID B

Last Name

KWIAT

Suffix

Business Name

DAVID B KWIAT MD

Original Issue Date

06/30/1988

Effective Date

06/30/1988

Expiration Date

07/31/2005

City

SHELBYVILLE

State

Zip

62565

County

SHELBY

Ever Disciplined

LastModifiedDate

10/09/2006