KATHLEEN E DETWILER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

ACTIVE

Business

Title

First Name

KATHLEEN

Middle

Last Name

DETWILER

Business Name

KATHLEEN E DETWILER MD

Original Issue Date

04/08/2015

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

RIVERSIDE

State

Zip

60546

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023