KEVIN LEE MAYOR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106146

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

LEE

Last Name

MAYOR

Suffix

Business Name

KEVIN LEE MAYOR MD

Original Issue Date

01/24/2002

Effective Date

01/24/2002

Expiration Date

07/31/2005

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

08/12/2014