KEVIN TYLER WARD DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060900

License Status

CANCELLED

Business

Title

First Name

KEVIN

Middle

TYLER

Last Name

WARD

Business Name

KEVIN TYLER WARD DO

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2016

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

04/17/2015