KENNETH W GRESEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

NOT RENEWED

Business

First Name

KENNETH W

Last Name

GRESEN

Suffix

Business Name

KENNETH W GRESEN MD

Original Issue Date

01/25/1989

Effective Date

01/25/1989

Expiration Date

07/31/1990

City

JOLIET

State

Zip

60432

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006