KYLE ALAN CASSIDY-WESCOTT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

ACTIVE

Business

Title

First Name

KYLE

Middle

ALAN

Last Name

CASSIDY-WESCOTT

Business Name

KYLE ALAN CASSIDY-WESCOTT MD

Original Issue Date

10/06/2023

Effective Date

10/06/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61802

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/06/2023