KENNETH RAY AUSTIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036174635

License Status

ACTIVE

Business

Title

First Name

KENNETH

Middle

RAY

Last Name

AUSTIN

Business Name

KENNETH RAY AUSTIN MD

Original Issue Date

04/13/2025

Effective Date

04/13/2025

Expiration Date

07/31/2026

City

FORT WAYNE

State

Zip

46814

Ever Disciplined

LastModifiedDate

04/13/2025