EVERETT P KIRCH MD 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

EVERETT P

Last Name

KIRCH

Suffix

Business Name

EVERETT P KIRCH MD

Original Issue Date

02/24/2011

Effective Date

07/22/2020

Expiration Date

07/31/2023

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/30/2023