KIA BOXLEY-GILLESPIE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

ACTIVE

Business

First Name

KIA

Last Name

BOXLEY-GILLESPIE

Suffix

Business Name

KIA BOXLEY-GILLESPIE MD

Original Issue Date

04/10/2000

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

FLOSSMOOR

State

Zip

60422

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/18/2023