KEVIN JACOB KAPPENMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

Title

First Name

KEVIN

Middle

JACOB

Last Name

KAPPENMAN

Business Name

KEVIN JACOB KAPPENMAN MD

Original Issue Date

03/26/2025

Effective Date

03/26/2025

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/26/2025