KELSEY LODEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

Title

First Name

KELSEY

Last Name

LODEN

Business Name

KELSEY LODEN MD

Original Issue Date

04/12/2021

Effective Date

04/12/2021

Expiration Date

07/31/2023

City

PEORIA

State

Zip

61605

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023