KENNETH G CONDON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075537

License Status

INACTIVE

Business

First Name

KENNETH G

Last Name

CONDON

Suffix

Business Name

KENNETH G CONDON MD

Original Issue Date

07/25/1987

Effective Date

07/25/1987

Expiration Date

07/31/1990

City

WAUKESHA

State

Zip

53188

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006