STEVEN BRUCE KIDMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

First Name

STEVEN

Middle

BRUCE

Last Name

KIDMAN

Suffix

Business Name

STEVEN BRUCE KIDMAN MD

Original Issue Date

06/18/1999

Effective Date

06/18/1999

Expiration Date

07/31/2008

City

WILLOWBROOK

State

Zip

60514

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008