JUSTIN KEENE KWAK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

ACTIVE

Business

First Name

JUSTIN

Middle

KEENE

Last Name

KWAK

Suffix

Business Name

JUSTIN KEENE KWAK MD

Original Issue Date

02/29/2008

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60564

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/14/2023