KAMEKEA CARTER WILLIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

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

06/07/2011

Expiration Date

07/31/2014

City

KENOSHA

State

Zip

53142

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017