KIMBALL H LADIEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076843

License Status

ACTIVE

Business

First Name

KIMBALL

Middle

Last Name

LADIEN

Suffix

Business Name

KIMBALL H LADIEN MD

Original Issue Date

03/26/1988

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

08/01/2023

Case Number

2023003000

Action

Suspension

Discipline Start Date

06/20/2023

Discipline End Date

07/03/2023

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 07/05/2023.