KENT A BAR-SHOV MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

First Name

KENT A

Last Name

BAR-SHOV

Suffix

Business Name

KENT A BAR-SHOV MD

Original Issue Date

07/11/1991

Effective Date

07/11/1991

Expiration Date

07/31/1993

City

ROCKFORD

State

Zip

61107

County

BOONE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006