KENNETH M POEMOCEAH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021397

License Status

EXPIRED

Business

First Name

KENNETH M

Last Name

POEMOCEAH

Suffix

Business Name

KENNETH M POEMOCEAH MD

Original Issue Date

06/18/1987

Effective Date

06/18/1987

Expiration Date

07/01/1990

City

PEORIA

State

Zip

60636

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006