KENNETH M CROSS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121920

License Status

INACTIVE

Business

First Name

KENNETH

Middle

Last Name

CROSS

Suffix

Business Name

KENNETH M CROSS MD

Original Issue Date

09/08/2008

Effective Date

09/08/2008

Expiration Date

07/31/2011

City

WOODBURY

State

Zip

55125

County

MINNESOTA

Ever Disciplined

LastModifiedDate

04/07/2011