KEVIN WILFORD GERMINO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

WILFORD

Last Name

GERMINO

Suffix

Business Name

KEVIN WILFORD GERMINO MD

Original Issue Date

08/26/2009

Effective Date

05/06/2011

Expiration Date

07/31/2014

City

MARYVILLE

State

Zip

62062

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014