KEVIN G WALDRON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039957

License Status

EXPIRED

Business

First Name

KEVIN

Middle

Last Name

WALDRON

Business Name

KEVIN G WALDRON

Original Issue Date

07/01/1999

Effective Date

07/01/1999

Expiration Date

06/30/2005

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

09/22/2006