ANTIGONI KENCOS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046956

License Status

NOT RENEWED

Business

First Name

ANTIGONI

Last Name

KENCOS

Suffix

Business Name

ANTIGONI KENCOS MD

Original Issue Date

02/07/1973

Effective Date

02/07/1973

Expiration Date

07/31/2005

City

SCHERERVILLE

State

Zip

46375

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006