KEVIN A WAITS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000316

License Status

EXPIRED

Business

First Name

KEVIN

Middle

Last Name

WAITS

Business Name

KEVIN A WAITS

Original Issue Date

02/01/1996

Effective Date

02/01/1996

Expiration Date

03/31/1996

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/25/2006