KENNETH J KAVANAUGH DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077591

License Status

NOT RENEWED

Business

First Name

KENNETH J

Last Name

KAVANAUGH

Suffix

Business Name

KENNETH J KAVANAUGH DO

Original Issue Date

08/06/1988

Effective Date

08/31/2020

Expiration Date

07/31/2023

City

SANDWICH

State

Zip

60548

County

DEKALB

Ever Disciplined

LastModifiedDate

11/30/2023