GARY D KAVONIAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

GARY D

Last Name

KAVONIAN

Suffix

Business Name

GARY D KAVONIAN MD

Original Issue Date

09/06/1989

Effective Date

09/06/1989

Expiration Date

07/31/1990

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006