KALLOLINI S TAILOR Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

ACTIVE

Business

First Name

KALLOLINI

Middle

Last Name

TAILOR

Business Name

KALLOLINI S TAILOR

Original Issue Date

04/11/2003

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

WILMETTE

State

Zip

60091

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/09/2023