THEISHA Y PERKINS Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

ACTIVE

Business

First Name

THEISHA

Middle

Last Name

PERKINS

Business Name

THEISHA Y PERKINS

Original Issue Date

06/14/2002

Effective Date

05/25/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60617

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/25/2023