CAROLYN J KENYON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

CAROLYN J

Last Name

KENYON

Suffix

Business Name

CAROLYN J KENYON MD

Original Issue Date

05/20/1988

Effective Date

05/20/1988

Expiration Date

07/31/1993

City

PEORIA

State

Zip

61603

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006