ROBERT KENNETH CAMPBELL DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070009

License Status

EXPIRED

Business

Title

First Name

ROBERT

Middle

KENNETH

Last Name

CAMPBELL

Business Name

ROBERT KENNETH CAMPBELL DO

Original Issue Date

06/25/2017

Effective Date

06/25/2017

Expiration Date

06/24/2020

City

FORT WAYNE

State

Zip

46818

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

11/19/2020