KENNETH D MINKS JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

Last Name

MINKS

Suffix

JR MD

Business Name

KENNETH D MINKS JR MD

Original Issue Date

03/05/2002

Effective Date

06/12/2008

Expiration Date

07/31/2011

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011