KEVIN TROY WHITE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108270

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

TROY

Last Name

WHITE

Suffix

Business Name

KEVIN TROY WHITE MD

Original Issue Date

12/06/2002

Effective Date

12/06/2002

Expiration Date

07/31/2005

City

NEW BERLIN

State

Zip

53151

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006