JACOB M KITCHENER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

ACTIVE

Business

First Name

JACOB

Middle

Last Name

KITCHENER

Suffix

Business Name

JACOB M KITCHENER MD

Original Issue Date

06/08/2015

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/12/2023