KENNETH MARTIN LESTER KELLNER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

ACTIVE

Business

Title

First Name

KENNETH

Middle

MARTIN LESTER

Last Name

KELLNER

Business Name

KENNETH MARTIN LESTER KELLNER MD

Original Issue Date

08/26/2020

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2023