KEVIN O BELGRAVE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001033

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

Last Name

BELGRAVE

Business Name

KEVIN O BELGRAVE

Original Issue Date

03/02/2015

Effective Date

03/02/2015

Expiration Date

04/01/2015

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

01/07/2016