KENNETH DONALD KLEIST MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114170

License Status

INACTIVE

Business

First Name

KENNETH

Middle

DONALD

Last Name

KLEIST

Suffix

Business Name

KENNETH DONALD KLEIST MD

Original Issue Date

07/13/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

ST. PAUL

State

Zip

55101

Ever Disciplined

LastModifiedDate

04/17/2008