KENNETH LEE BOWMAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015144

License Status

EXPIRED

Business

First Name

KENNETH LEE

Last Name

BOWMAN

Business Name

KENNETH LEE BOWMAN

Original Issue Date

02/07/1983

Effective Date

02/07/1983

Expiration Date

01/31/1985

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006