KEVIN AUGUSTINE JOSEPH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

ACTIVE

Business

First Name

KEVIN

Middle

AUGUSTINE

Last Name

JOSEPH

Suffix

Business Name

KEVIN AUGUSTINE JOSEPH MD

Original Issue Date

02/09/2016

Effective Date

06/10/2023

Expiration Date

07/31/2026

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/10/2023