MARK KEVIN KIRKWOOD DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063278

License Status

CANCELLED

Business

First Name

MARK

Middle

KEVIN

Last Name

KIRKWOOD

Suffix

Business Name

MARK KEVIN KIRKWOOD DO

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

GLEN ELLYN

State

Zip

60137

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

03/24/2014