KATRINA L BIRCH 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

KATRINA

Middle

Last Name

BIRCH

Suffix

Business Name

KATRINA L BIRCH MD

Original Issue Date

05/04/2016

Effective Date

05/08/2023

Expiration Date

07/31/2026

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/08/2023