REBECCA KATHRYN KIRK 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

REBECCA

Middle

KATHRYN

Last Name

KIRK

Business Name

REBECCA KATHRYN KIRK MD

Original Issue Date

05/14/2021

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

DOWNERS GROVE

State

Zip

60515

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/19/2023