MARKETA KYNCL LEISURE 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

Title

First Name

MARKETA

Middle

KYNCL

Last Name

LEISURE

Business Name

MARKETA KYNCL LEISURE MD

Original Issue Date

04/24/2013

Effective Date

04/24/2014

Expiration Date

07/31/2017

City

GALESBURG

State

Zip

61401

County

KNOX

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017