KENNETH D CLOUD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

Last Name

CLOUD

Suffix

Business Name

KENNETH D CLOUD MD

Original Issue Date

09/25/2000

Effective Date

09/25/2000

Expiration Date

07/31/2002

City

MOUNT CARMEL

State

Zip

62863

County

EDWARDS

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/09/2006