KEVIN W LOLLAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

Title

First Name

KEVIN

Middle

Last Name

LOLLAR

Business Name

KEVIN W LOLLAR MD

Original Issue Date

10/09/2012

Effective Date

04/16/2014

Expiration Date

07/31/2017

City

PITTSFIELD

State

Zip

62363

County

PIKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017