KEVIN DAVID SHOULTS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093083

License Status

NOT RENEWED

Business

First Name

KEVIN DAVID

Last Name

SHOULTS

Suffix

Business Name

KEVIN DAVID SHOULTS MD

Original Issue Date

06/06/1996

Effective Date

06/05/2017

Expiration Date

09/30/2020

City

BARRINGTON

State

Zip

60010

County

LAKE

Ever Disciplined

LastModifiedDate

01/14/2021