KIRK ANTHONY STEWART MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077218

License Status

CANCELLED

Business

Title

First Name

KIRK

Middle

ANTHONY

Last Name

STEWART

Business Name

KIRK ANTHONY STEWART MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/29/2020