KYLE W DEBENHAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088782

License Status

NOT RENEWED

Business

First Name

KYLE W

Last Name

DEBENHAM

Suffix

Business Name

KYLE W DEBENHAM MD

Original Issue Date

07/01/1994

Effective Date

07/01/1994

Expiration Date

07/31/1996

City

ELKHART

State

Zip

62634

County

LOGAN

Ever Disciplined

LastModifiedDate

06/10/2015