KEVIN MICHAEL PRESCOTT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071694

License Status

CANCELLED

Business

Title

First Name

KEVIN

Middle

MICHAEL

Last Name

PRESCOTT

Business Name

KEVIN MICHAEL PRESCOTT MD

Original Issue Date

06/24/2018

Effective Date

06/24/2018

Expiration Date

06/23/2021

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/23/2018