PANOREA MATHEWS KUKLA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

ACTIVE

Business

First Name

PANOREA

Last Name

MATHEWS KUKLA

Business Name

PANOREA MATHEWS KUKLA

Original Issue Date

04/30/2002

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2023