KENNETH A ORCHARD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025721

License Status

EXPIRED

Business

First Name

KENNETH

Middle

Last Name

ORCHARD

Business Name

KENNETH A ORCHARD

Original Issue Date

06/25/1990

Effective Date

06/25/1990

Expiration Date

11/18/1991

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006