DOUGLAS ALLEN KAFFENBERGER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121548

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

ALLEN

Last Name

KAFFENBERGER

Business Name

DOUGLAS ALLEN KAFFENBERGER

Original Issue Date

07/24/2008

Effective Date

05/14/2014

Expiration Date

07/31/2017

City

BRISTOL

State

Zip

37620

County

TENNESSEE

Ever Disciplined

LastModifiedDate

11/01/2017