KENWORTH F HOLNESS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030409

License Status

EXPIRED

Business

First Name

KENWORTH F

Last Name

HOLNESS

Business Name

KENWORTH F HOLNESS

Original Issue Date

06/18/1993

Effective Date

06/18/1993

Expiration Date

06/30/1996

City

ROCKFORD

State

Zip

61107

County

BOONE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006