KEVIN L KONZEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075260

License Status

ACTIVE

Business

First Name

KEVIN L

Last Name

KONZEN

Suffix

Business Name

KEVIN L KONZEN MD

Original Issue Date

06/27/1987

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

ST LOUIS

State

Zip

63110

County

MADISON

Ever Disciplined

LastModifiedDate

04/07/2023