KEVIN R KELLOGG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

Title

First Name

KEVIN

Middle

Last Name

KELLOGG

Business Name

KEVIN R KELLOGG MD

Original Issue Date

03/04/1982

Effective Date

03/04/1982

Expiration Date

07/31/2008

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017