IMHOTEP KEVIN A CARTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

IMHOTEP KEVIN A

Last Name

CARTER

Suffix

Business Name

IMHOTEP KEVIN A CARTER MD

Original Issue Date

07/26/1991

Effective Date

07/22/2011

Expiration Date

07/31/2014

City

JOLIET

State

Zip

60434

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020