KIWAN LAMAR WRIGHT DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036169678

License Status

ACTIVE

Business

Title

First Name

KIWAN

Middle

LAMAR

Last Name

WRIGHT

Business Name

KIWAN LAMAR WRIGHT DO

Original Issue Date

04/04/2024

Effective Date

04/04/2024

Expiration Date

07/31/2026

City

ANTIOCH

State

Zip

60002

Ever Disciplined

LastModifiedDate

04/05/2024