KATHLEEN CARROLL MOLINE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

ACTIVE

Business

First Name

KATHLEEN

Middle

CARROLL

Last Name

MOLINE

Suffix

Business Name

KATHLEEN CARROLL MOLINE DO

Original Issue Date

08/30/2007

Effective Date

04/24/2023

Expiration Date

07/31/2026

City

WHEATON

State

Zip

60189

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/24/2023