KEVIN M BLUEMEL Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000295

License Status

EXPIRED

Business

First Name

KEVIN

Middle

Last Name

BLUEMEL

Business Name

KEVIN M BLUEMEL

Original Issue Date

08/30/1995

Effective Date

08/30/1995

Expiration Date

03/09/1996

City

JANESVILLE

State

Zip

53546

County

WISCONSIN

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/25/2006