KELVIN D VAN OSDOL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

First Name

KELVIN D

Last Name

VAN OSDOL

Suffix

Business Name

KELVIN D VAN OSDOL MD

Original Issue Date

04/28/1983

Effective Date

04/28/1983

Expiration Date

07/31/1987

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006