KEVIN CARL TOMFOHRDE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112119

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

CARL

Last Name

TOMFOHRDE

Suffix

Business Name

KEVIN CARL TOMFOHRDE DO

Original Issue Date

08/16/2004

Effective Date

05/19/2008

Expiration Date

07/31/2011

City

CINCINNATI

State

Zip

45229

County

OHIO

Ever Disciplined

LastModifiedDate

11/14/2011