KEVIN IZQUIERDO DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086053

License Status

ACTIVE

Business

Title

First Name

KEVIN

Last Name

IZQUIERDO

Business Name

KEVIN IZQUIERDO DO

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Sports Medicine (Internal Medicine)

Ever Disciplined

LastModifiedDate

05/29/2025