LARRY A KEAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036080027

License Status

NOT RENEWED

Business

First Name

LARRY A

Last Name

KEAN

Suffix

Business Name

LARRY A KEAN MD

Original Issue Date

06/01/1990

Effective Date

06/01/1990

Expiration Date

07/31/1993

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

01/15/2010