KENNETH EDWARD SAUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

EDWARD

Last Name

SAUM

Suffix

Business Name

KENNETH EDWARD SAUM MD

Original Issue Date

07/26/2004

Effective Date

07/15/2011

Expiration Date

07/31/2014

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014