KEVIN J GANDER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098780

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

Last Name

GANDER

Suffix

Business Name

KEVIN J GANDER MD

Original Issue Date

08/17/1998

Effective Date

06/16/2014

Expiration Date

07/31/2017

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/01/2017