JONATHAN ROGER KIRKWOOD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057104

License Status

CANCELLED

Business

Title

First Name

JONATHAN

Middle

ROGER

Last Name

KIRKWOOD

Business Name

JONATHAN ROGER KIRKWOOD MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/15/2009