KENNETH ALAN BUCKWALTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065322

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

ALAN

Last Name

BUCKWALTER

Suffix

Business Name

KENNETH ALAN BUCKWALTER MD

Original Issue Date

07/01/1981

Effective Date

05/06/2014

Expiration Date

07/31/2017

City

INDIANAPOLIS

State

Zip

46260

County

INDIANA

Ever Disciplined

LastModifiedDate

11/01/2017