KEVIN R KELLOGG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063244

License Status

NOT RENEWED

Business

Title

First Name

KEVIN

Middle

Last Name

KELLOGG

Business Name

KEVIN R KELLOGG MD

Original Issue Date

09/17/1981

Effective Date

11/15/2016

Expiration Date

07/31/2017

City

NORTON SHORES

State

Zip

49444

County

MICHIGAN

Ever Disciplined

LastModifiedDate

11/01/2017