KENNETH ROY RICHARDS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053676

License Status

EXPIRED

Business

First Name

KENNETH

Middle

ROY

Last Name

RICHARDS

Suffix

Business Name

KENNETH ROY RICHARDS MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

07/08/2010