KEVIN P WAKEMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

ACTIVE

Business

First Name

KEVIN

Middle

Last Name

WAKEMAN

Suffix

Business Name

KEVIN P WAKEMAN MD

Original Issue Date

06/04/2001

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

ALGONQUIN

State

Zip

60102

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023