KENNETH EDWIN MURDOCK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

Title

First Name

KENNETH

Middle

EDWIN

Last Name

MURDOCK

Business Name

KENNETH EDWIN MURDOCK MD

Original Issue Date

12/19/2016

Effective Date

05/24/2018

Expiration Date

09/30/2020

City

DIXON

State

Zip

61021

County

LEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021