KEVIN J DOLEHIDE DO 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

KEVIN J

Last Name

DOLEHIDE

Suffix

Business Name

KEVIN J DOLEHIDE DO

Original Issue Date

02/14/1991

Effective Date

07/14/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60643

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/14/2023