KENNETH J KAVANAUGH DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****12

NOT RENEWED

N

KENNETH J

KAVANAUGH

DO

KENNETH J KAVANAUGH DO

09/06/1988

08/31/2020

07/31/2023

SANDWICH

IL

60548

DEKALB

II III IV V

N

11/30/2023