KEVIN ANDREW KLEAN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136699

License Status

NOT RENEWED

Business

Title

First Name

KEVIN

Middle

ANDREW

Last Name

KLEAN

Business Name

KEVIN ANDREW KLEAN DO

Original Issue Date

10/20/2014

Effective Date

10/20/2014

Expiration Date

07/31/2017

City

LAKE GENEVA

State

Zip

53147

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017