TYLER QUENTIN KIRK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

Title

First Name

TYLER

Middle

QUENTIN

Last Name

KIRK

Business Name

TYLER QUENTIN KIRK MD

Original Issue Date

03/15/2012

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

RIVER FOREST

State

Zip

60305

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/15/2023