KENNETH DAY LANGE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042655

License Status

NOT RENEWED

Business

First Name

KENNETH DAY

Last Name

LANGE

Suffix

Business Name

KENNETH DAY LANGE DO

Original Issue Date

07/11/1969

Effective Date

07/11/1969

City

BATTLE CREEK

State

Zip

49015

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006