KEVIN DALE BOATWRIGHT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131723

License Status

ACTIVE

Business

Title

First Name

KEVIN

Middle

DALE

Last Name

BOATWRIGHT

Business Name

KEVIN DALE BOATWRIGHT MD

Original Issue Date

11/14/2012

Effective Date

07/01/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

02/04/2026