AUSTIN MARK KABOFF DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

ACTIVE

Business

Title

First Name

AUSTIN

Middle

MARK

Last Name

KABOFF

Business Name

AUSTIN MARK KABOFF DO

Original Issue Date

09/10/2023

Effective Date

09/10/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/13/2025