KEVIN DALE BOATWRIGHT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

ACTIVE

Business

Title

First Name

KEVIN

Middle

DALE

Last Name

BOATWRIGHT

Business Name

KEVIN DALE BOATWRIGHT MD

Original Issue Date

11/14/2012

Effective Date

07/01/2023

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

07/01/2023