KENNETH B TAI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042761

License Status

EXPIRED

Business

First Name

KENNETH

Middle

Last Name

TAI

Business Name

KENNETH B TAI

Original Issue Date

06/22/2001

Effective Date

06/22/2001

Expiration Date

06/21/2005

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006