KEVIN ANDRE MYRIE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051026

License Status

CANCELLED

Business

First Name

KEVIN

Middle

ANDRE

Last Name

MYRIE

Suffix

Business Name

KEVIN ANDRE MYRIE MD

Original Issue Date

06/17/2006

Effective Date

06/17/2006

Expiration Date

06/16/2009

City

MERRILLVILLE

State

Zip

46410

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006