KENNETH K BARTHOLOMEW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

KENNETH K

Last Name

BARTHOLOMEW

Suffix

Business Name

KENNETH K BARTHOLOMEW MD

Original Issue Date

09/10/1990

Effective Date

09/10/1990

Expiration Date

07/31/1996

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011