Kevin Floyd Heacock
Medical Board - 57.Md Training Certificate
Ohio 57.017189 Failed to Renew
This Ohio license was held by Kevin Floyd Heacock. The license is no longer active. It was granted on 10/27/2009 and expired on 06/30/2013
LICENSE DETAILS
- License Number: 57.017189
- Category: 57.MD Training Certificate
- Status: Failed to Renew
- Date Granted: 10/27/2009 (over 15 years ago)
- Expiry Date: 06/30/2013 (about 12 years ago)
LOCATIONS
A Practice Address
Wright State University, c/o Psychiatry Dept, 627 Edwin Moses Blvd, Dayton, OH 45417