KENNETH HAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112367

License Status

NOT RENEWED

Business

First Name

KENNETH

Last Name

HAM

Suffix

Business Name

KENNETH HAM MD

Original Issue Date

09/16/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008