NEAL LYNN KELLENBERGER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055392

License Status

EXPIRED

Business

Title

First Name

NEAL

Middle

LYNN

Last Name

KELLENBERGER

Business Name

NEAL LYNN KELLENBERGER MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

BELVIDERE

State

Zip

61008

County

BOONE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/19/2011