KEVIN DALE DRAXINGER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110748

License Status

ACTIVE

Business

First Name

KEVIN

Middle

DALE

Last Name

DRAXINGER

Suffix

Business Name

KEVIN DALE DRAXINGER MD

Original Issue Date

01/29/2004

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

04/06/2023