KINNERA ARE DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076361

License Status

CANCELLED

Business

Title

First Name

KINNERA

Last Name

ARE

Business Name

KINNERA ARE DO

Original Issue Date

06/26/2020

Effective Date

06/26/2020

Expiration Date

06/25/2023

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/06/2020