KENNETH WAYNE RETTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

First Name

KENNETH WAYNE

Last Name

RETTER

Suffix

Business Name

KENNETH WAYNE RETTER MD

Original Issue Date

09/08/1993

Effective Date

09/08/1993

Expiration Date

07/31/1999

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017