KIMBERLY D WATTS Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

ACTIVE

Business

First Name

KIMBERLY

Middle

Last Name

WATTS

Business Name

KIMBERLY D WATTS

Original Issue Date

06/10/2004

Effective Date

09/03/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/03/2023