KEVAN EARL KETTERLING MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

Title

First Name

KEVAN

Middle

EARL

Last Name

KETTERLING

Business Name

KEVAN EARL KETTERLING MD

Original Issue Date

07/30/1996

Effective Date

07/30/1996

Expiration Date

07/31/1999

City

ELGIN

State

Zip

60123

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020