WARREN G KRUCKMEYER 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

WARREN G

Last Name

KRUCKMEYER

Suffix

Business Name

WARREN G KRUCKMEYER MD

Original Issue Date

01/05/1984

Effective Date

06/15/2023

Expiration Date

07/31/2026

City

WAUCONDA

State

Zip

60084

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/15/2023