KENNETH R KILIAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

CANCELLED

Business

First Name

KENNETH R

Last Name

KILIAN

Suffix

Business Name

KENNETH R KILIAN MD

Original Issue Date

07/23/2002

Effective Date

07/23/2002

Expiration Date

07/31/2005

City

WARSAW

State

Zip

62379

County

HANCOCK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006