KIRSTEN HELENA FILL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

ACTIVE

Business

Title

First Name

KIRSTEN

Middle

HELENA

Last Name

FILL

Business Name

KIRSTEN HELENA FILL MD

Original Issue Date

07/26/2021

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60640

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023