STEPHEN KENNETH KIDD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140243

License Status

NOT RENEWED

Business

Title

First Name

STEPHEN

Middle

KENNETH

Last Name

KIDD

Business Name

STEPHEN KENNETH KIDD MD

Original Issue Date

04/04/2016

Effective Date

07/12/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021