TIFFANY LAUREN KENT MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134962

License Status

INACTIVE

Business

Title

First Name

TIFFANY

Middle

LAUREN

Last Name

KENT

Business Name

TIFFANY LAUREN KENT MD

Original Issue Date

04/09/2014

Effective Date

04/09/2014

Expiration Date

07/31/2017

City

GRAND RAPIDS

State

Zip

49546

County

MICHIGAN

Ever Disciplined

LastModifiedDate

04/12/2017