KEVIN RENARD TEAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134440

License Status

NOT RENEWED

Business

Title

First Name

KEVIN

Middle

RENARD

Last Name

TEAL

Business Name

KEVIN RENARD TEAL MD

Original Issue Date

01/16/2014

Effective Date

07/21/2020

Expiration Date

07/31/2023

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/30/2023