KIRK T SPENCER Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

CANCELLED

Business

First Name

KIRK T

Last Name

SPENCER

Business Name

KIRK T SPENCER

Original Issue Date

06/28/1995

Effective Date

06/12/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/12/2017