AGNIESZKA M KENDALL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

AGNIESZKA

Middle

Last Name

KENDALL

Business Name

AGNIESZKA M KENDALL

Original Issue Date

06/16/2005

Effective Date

06/05/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60631

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017