KENNETH DAVID WILLIAMS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

DAVID

Last Name

WILLIAMS

Business Name

KENNETH DAVID WILLIAMS

Original Issue Date

12/09/1999

Effective Date

04/11/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60629

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020