TIMOTHY FREDERIC KURT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

CANCELLED

Business

First Name

TIMOTHY FREDERIC

Last Name

KURT

Suffix

Business Name

TIMOTHY FREDERIC KURT MD

Original Issue Date

11/08/1996

Effective Date

11/08/1996

Expiration Date

07/31/2005

City

MARYVILLE

State

Zip

62062

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006