KENNETH MICHAEL PATRICK DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114117

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

MICHAEL

Last Name

PATRICK

Suffix

Business Name

KENNETH MICHAEL PATRICK DO

Original Issue Date

07/06/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008