KENNETH J JARAMILLO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

Last Name

JARAMILLO

Suffix

Business Name

KENNETH J JARAMILLO MD

Original Issue Date

08/29/1996

Effective Date

08/29/1996

Expiration Date

07/31/2002

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006