LUCAS M KIMMIG 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

Title

First Name

LUCAS

Middle

Last Name

KIMMIG

Business Name

LUCAS M KIMMIG MD

Original Issue Date

06/14/2018

Effective Date

06/14/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60637

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021