KENAN QIN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

First Name

KENAN

Last Name

QIN

Business Name

KENAN QIN

Original Issue Date

04/04/2002

Effective Date

04/18/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014