KEVIN BRIAN TOM DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036165796

License Status

ACTIVE

Business

Title

First Name

KEVIN

Middle

BRIAN

Last Name

TOM

Business Name

KEVIN BRIAN TOM DO

Original Issue Date

07/07/2023

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

06/27/2023