KENNETH W MIHELICH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

CANCELLED

Business

First Name

KENNETH W

Last Name

MIHELICH

Suffix

Business Name

KENNETH W MIHELICH MD

Original Issue Date

08/27/1982

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

BELVIDERE

State

Zip

61008

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020