KENNETH MICHAEL STRUM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119309

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

MICHAEL

Last Name

STRUM

Business Name

KENNETH MICHAEL STRUM

Original Issue Date

08/28/2007

Effective Date

04/10/2020

Expiration Date

09/30/2020

City

METAMORA

State

Zip

61548

County

WOODFORD

Ever Disciplined

LastModifiedDate

01/14/2021