ANTHONY A MCKITTY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

Last Name

MCKITTY

Business Name

ANTHONY A MCKITTY

Original Issue Date

12/27/2013

Effective Date

06/14/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60015

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021