STEPHEN A KAMENETZKY 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

STEPHEN A

Last Name

KAMENETZKY

Suffix

Business Name

STEPHEN A KAMENETZKY MD

Original Issue Date

08/24/1981

Effective Date

08/24/1981

Expiration Date

07/31/1993

City

WEST FRANKFORT

State

Zip

62896

County

FRANKLIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011