KENNETH R BARBA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033060

License Status

EXPIRED

Business

First Name

KENNETH

Middle

Last Name

BARBA

Business Name

KENNETH R BARBA

Original Issue Date

06/06/1995

Effective Date

06/06/1995

Expiration Date

06/25/1999

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

09/22/2006