KENNETH OGDEN FETROW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036034053

License Status

NOT RENEWED

Business

First Name

KENNETH OGDEN

Last Name

FETROW

Suffix

Business Name

KENNETH OGDEN FETROW MD

Original Issue Date

05/28/1956

Effective Date

05/28/1956

Expiration Date

07/31/1996

City

HAMMOND

State

Zip

46324

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006