KENNETH A PEREZ DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028477

License Status

EXPIRED

Business

First Name

KENNETH A

Last Name

PEREZ

Suffix

Business Name

KENNETH A PEREZ DO

Original Issue Date

06/01/1992

Effective Date

06/01/1992

Expiration Date

06/21/1995

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006