KENNETH LEE KRAUDEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

First Name

KENNETH LEE

Last Name

KRAUDEL

Suffix

Business Name

KENNETH LEE KRAUDEL MD

Original Issue Date

10/14/1981

Effective Date

05/03/2017

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021