KERRY B EVNIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015154

License Status

EXPIRED

Business

First Name

KERRY B

Last Name

EVNIN

Suffix

Business Name

KERRY B EVNIN MD

Original Issue Date

03/04/1983

Effective Date

03/04/1983

Expiration Date

03/01/1985

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006