KERRY B EVNIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

CANCELLED

Business

First Name

KERRY B

Last Name

EVNIN

Suffix

Business Name

KERRY B EVNIN MD

Original Issue Date

02/24/1984

Effective Date

02/24/1984

Expiration Date

07/31/1990

City

IRVINGTON

State

Zip

62848

County

WASHINGTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006