KEVIN W LOLLAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131559

License Status

NOT RENEWED

Business

Title

First Name

KEVIN

Middle

Last Name

LOLLAR

Business Name

KEVIN W LOLLAR MD

Original Issue Date

10/09/2012

Effective Date

04/16/2014

Expiration Date

07/31/2017

City

PITTSFIELD

State

Zip

62363

County

PIKE

Ever Disciplined

LastModifiedDate

11/01/2017