KEVIN ROGERS GELSHENEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047527

License Status

CANCELLED

Business

First Name

KEVIN

Middle

ROGERS

Last Name

GELSHENEN

Suffix

Business Name

KEVIN ROGERS GELSHENEN MD

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2007

City

LAKE GENEVA

State

Zip

53147

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006