KEVIN PATRICK KALLAS 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

KEVIN PATRICK

Last Name

KALLAS

Suffix

Business Name

KEVIN PATRICK KALLAS MD

Original Issue Date

01/12/1995

Effective Date

01/12/1995

Expiration Date

07/31/1996

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006