KEVIN TYLER WARD DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140714

License Status

NOT RENEWED

Business

Title

First Name

KEVIN

Middle

TYLER

Last Name

WARD

Business Name

KEVIN TYLER WARD DO

Original Issue Date

05/18/2016

Effective Date

05/18/2016

Expiration Date

07/31/2017

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017