KENNETH C LEVY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112598

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

Last Name

LEVY

Suffix

Business Name

KENNETH C LEVY MD

Original Issue Date

11/03/2004

Effective Date

07/10/2008

Expiration Date

07/31/2011

City

ST LOUIS

State

Zip

63141

Ever Disciplined

LastModifiedDate

11/14/2011