KENNETH MARTIN SODA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000109

License Status

EXPIRED

Business

First Name

KENNETH

Middle

MARTIN

Last Name

SODA

Suffix

Business Name

KENNETH MARTIN SODA MD

Original Issue Date

03/25/1998

Effective Date

03/25/1998

Expiration Date

10/31/1999

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/25/2006