KENNETH JOHN DOLS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

CANCELLED

Business

First Name

KENNETH JOHN

Last Name

DOLS

Suffix

Business Name

KENNETH JOHN DOLS MD

Original Issue Date

10/15/2003

Effective Date

10/15/2003

Expiration Date

07/31/2005

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011