KAMEKEA CARTER WILLIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128063

License Status

NOT RENEWED

Business

First Name

KAMEKEA

Middle

CARTER

Last Name

WILLIS

Suffix

Business Name

KAMEKEA CARTER WILLIS MD

Original Issue Date

06/07/2011

Effective Date

07/14/2014

Expiration Date

07/31/2017

City

KENOSHA

State

Zip

53142

Ever Disciplined

LastModifiedDate

11/04/2019