KEVIN MICHAEL O'CONNOR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

NOT RENEWED

Business

First Name

KEVIN MICHAEL

Last Name

O'CONNOR

Suffix

Business Name

KEVIN MICHAEL O'CONNOR MD

Original Issue Date

06/10/1997

Effective Date

06/10/1997

Expiration Date

07/31/1999

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006