KENNETH MICHAEL STRUM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

MICHAEL

Last Name

STRUM

Business Name

KENNETH MICHAEL STRUM

Original Issue Date

08/28/2007

Effective Date

07/01/2014

Expiration Date

07/31/2017

City

METAMORA

State

Zip

61548

County

WOODFORD

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017