KENNETH R KILIAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

First Name

KENNETH R

Last Name

KILIAN

Suffix

Business Name

KENNETH R KILIAN MD

Original Issue Date

03/10/1993

Effective Date

03/10/1993

Expiration Date

07/31/1996

City

WARSAW

State

Zip

62379

County

HANCOCK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006