KEN KINOSHITA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119518

License Status

NOT RENEWED

Business

First Name

KEN

Last Name

KINOSHITA

Suffix

Business Name

KEN KINOSHITA MD

Original Issue Date

10/11/2007

Effective Date

07/21/2011

Expiration Date

07/31/2014

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/17/2014