KENT FREDERIC METCALF Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034876

License Status

EXPIRED

Business

First Name

KENT FREDERIC

Last Name

METCALF

Business Name

KENT FREDERIC METCALF

Original Issue Date

06/05/1996

Effective Date

06/05/1996

Expiration Date

06/30/1999

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006