KEVIN D EGLY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

ACTIVE

Business

First Name

KEVIN

Middle

Last Name

EGLY

Suffix

Business Name

KEVIN D EGLY MD

Original Issue Date

08/18/1999

Effective Date

07/09/2023

Expiration Date

07/31/2026

City

SANDWICH

State

Zip

60548

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/09/2023