WILLIAM S KELLOGG Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

WILLIAM S

Last Name

KELLOGG

Business Name

WILLIAM S KELLOGG

Original Issue Date

12/08/1993

Effective Date

12/08/1993

Expiration Date

07/31/1996

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006