KENNETH WILLIAM FRASER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088568

License Status

ACTIVE

Business

First Name

KENNETH WILLIAM

Last Name

FRASER

Suffix

Business Name

KENNETH WILLIAM FRASER MD

Original Issue Date

06/15/1994

Effective Date

07/08/2023

Expiration Date

07/31/2026

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/08/2023