KELVIN EARL WYNN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117956

License Status

ACTIVE

Business

First Name

KELVIN

Middle

EARL

Last Name

WYNN

Business Name

KELVIN EARL WYNN

Original Issue Date

03/28/2007

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61602

County

PEORIA

Ever Disciplined

LastModifiedDate

07/12/2023