KEVIN JOSEPH CALDWELL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062550

License Status

EXPIRED

Business

First Name

KEVIN

Middle

JOSEPH

Last Name

CALDWELL

Suffix

Business Name

KEVIN JOSEPH CALDWELL MD

Original Issue Date

06/26/2016

Effective Date

06/26/2016

Expiration Date

06/25/2018

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Vascular Surgery

Ever Disciplined

LastModifiedDate

10/25/2018