KIMBALL H LADIEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

ACTIVE

Business

First Name

KIMBALL

Middle

Last Name

LADIEN

Suffix

Business Name

KIMBALL H LADIEN MD

Original Issue Date

04/18/1988

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/01/2023