KERRY L EVANS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032854

License Status

EXPIRED

Business

First Name

KERRY

Middle

Last Name

EVANS

Business Name

KERRY L EVANS

Original Issue Date

05/30/1995

Effective Date

05/30/1995

Expiration Date

06/30/1998

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006