DAVID FLYNN KAVANAUGH DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036967

License Status

EXPIRED

Business

First Name

DAVID

Middle

FLYNN

Last Name

KAVANAUGH

Suffix

Business Name

DAVID FLYNN KAVANAUGH DO

Original Issue Date

06/26/1997

Effective Date

06/26/1997

Expiration Date

06/30/2000

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/25/2018