KEVIN TYLER WARD DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

Title

First Name

KEVIN

Middle

TYLER

Last Name

WARD

Business Name

KEVIN TYLER WARD DO

Original Issue Date

05/26/2016

Effective Date

05/26/2016

Expiration Date

07/31/2017

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017