KENNETH J FATTMANN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100080

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

Last Name

FATTMANN

Suffix

Business Name

KENNETH J FATTMANN MD

Original Issue Date

04/26/1999

Effective Date

04/26/1999

Expiration Date

07/31/2002

City

BOLIVAR

State

Zip

65613

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006