OCTAVIA B KINCAID Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109346

License Status

ACTIVE

Business

First Name

OCTAVIA

Middle

Last Name

KINCAID

Business Name

OCTAVIA B KINCAID

Original Issue Date

06/02/2003

Effective Date

05/24/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

08/30/2023