KEVIN WILSON MARCUM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155438

License Status

ACTIVE

Business

Title

First Name

KEVIN

Middle

WILSON

Last Name

MARCUM

Business Name

KEVIN WILSON MARCUM MD

Original Issue Date

01/28/2021

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

OMAHA

State

Zip

68130

Ever Disciplined

LastModifiedDate

06/29/2023