KEVIN RUSSELL KILLOUGH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110909

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

RUSSELL

Last Name

KILLOUGH

Suffix

Business Name

KEVIN RUSSELL KILLOUGH MD

Original Issue Date

03/03/2004

Effective Date

03/03/2004

Expiration Date

07/31/2005

City

LIMA

State

Zip

45807

County

OHIO

Ever Disciplined

LastModifiedDate

10/09/2006