KENYA S EVERETTE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

ACTIVE

Business

First Name

KENYA

Middle

Last Name

EVERETTE

Suffix

Business Name

KENYA S EVERETTE MD

Original Issue Date

10/16/2002

Effective Date

04/30/2023

Expiration Date

07/31/2026

City

CRESTWOOD

State

Zip

60418

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/30/2023