KENNETH E CARPENTER Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116924

License Status

ACTIVE

Business

First Name

KENNETH

Middle

Last Name

CARPENTER

Business Name

KENNETH E CARPENTER

Original Issue Date

09/14/2006

Effective Date

06/08/2023

Expiration Date

07/31/2026

City

HANNA CITY

State

Zip

61536

County

PEORIA

Ever Disciplined

LastModifiedDate

06/08/2023