KENNETH WAYNE SAPP MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117990

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

WAYNE

Last Name

SAPP

Suffix

Business Name

KENNETH WAYNE SAPP MD

Original Issue Date

04/02/2007

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Ever Disciplined

LastModifiedDate

11/14/2011