MICHAEL KENT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

MICHAEL

Last Name

KENT

Suffix

Business Name

MICHAEL KENT MD

Original Issue Date

09/21/1998

Effective Date

09/21/1998

Expiration Date

07/31/2002

City

PEORIA

State

Zip

61636

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006