KENNETH L MASKELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145978

License Status

ACTIVE

Business

Title

First Name

KENNETH

Middle

Last Name

MASKELL

Business Name

KENNETH L MASKELL MD

Original Issue Date

05/04/2018

Effective Date

05/04/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2023