KEVIN DAVID COLVIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070763

License Status

EXPIRED

Business

Title

First Name

KEVIN

Middle

DAVID

Last Name

COLVIN

Business Name

KEVIN DAVID COLVIN MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

11/19/2020