KENNETH L MCCORMICK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097323

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

Last Name

MCCORMICK

Suffix

Business Name

KENNETH L MCCORMICK MD

Original Issue Date

02/25/1998

Effective Date

02/25/1998

Expiration Date

07/31/2002

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

10/09/2006