KENNETH DAVID WILLIAMS Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

ACTIVE

Business

First Name

KENNETH

Middle

DAVID

Last Name

WILLIAMS

Business Name

KENNETH DAVID WILLIAMS

Original Issue Date

12/09/1999

Effective Date

04/24/2023

Expiration Date

07/31/2026

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/24/2023