KENNETH ALAN BUCKWALTER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125012423

License Status

EXPIRED

Business

First Name

KENNETH

Middle

ALAN

Last Name

BUCKWALTER

Suffix

Business Name

KENNETH ALAN BUCKWALTER MD

Original Issue Date

06/17/1981

Effective Date

06/17/1981

Expiration Date

06/25/1983

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

12/30/2008