KENNETH ADDISON SILVIA II MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

ADDISON

Last Name

SILVIA

Suffix

II MD

Business Name

KENNETH ADDISON SILVIA II MD

Original Issue Date

11/29/2006

Effective Date

07/10/2008

Expiration Date

07/31/2011

City

BELLEVILLE

State

Zip

62222

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011