KEVIN RICHARD CARLILE 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

Title

First Name

KEVIN

Middle

RICHARD

Last Name

CARLILE

Business Name

KEVIN RICHARD CARLILE MD

Original Issue Date

06/27/2018

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

ALGONQUIN

State

Zip

60102

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/15/2023