WILLIAM KENT DRAKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

First Name

WILLIAM KENT

Last Name

DRAKE

Suffix

Business Name

WILLIAM KENT DRAKE MD

Original Issue Date

01/01/1997

Effective Date

04/22/2014

Expiration Date

07/31/2017

City

HIGHLAND

State

Zip

62249

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017