KEVIN D EGLY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101052

License Status

ACTIVE

Business

First Name

KEVIN

Middle

Last Name

EGLY

Suffix

Business Name

KEVIN D EGLY MD

Original Issue Date

08/18/1999

Effective Date

07/09/2023

Expiration Date

07/31/2026

City

SANDWICH

State

Zip

60548

County

DEKALB

Ever Disciplined

LastModifiedDate

07/09/2023