KENNETH R DORMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079006

License Status

NOT RENEWED

Business

First Name

KENNETH R

Last Name

DORMAN

Suffix

Business Name

KENNETH R DORMAN MD

Original Issue Date

06/09/1989

Effective Date

06/09/1989

Expiration Date

07/31/1999

City

AUSTIN

State

Zip

78705

County

TEXAS

Ever Disciplined

LastModifiedDate

09/20/2006