KIMBERLY KELLY MONROE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

KELLY

Last Name

MONROE

Suffix

Business Name

KIMBERLY KELLY MONROE MD

Original Issue Date

12/11/2002

Effective Date

12/11/2002

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011