KIRK H PACKO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

KIRK H

Last Name

PACKO

Suffix

Business Name

KIRK H PACKO MD

Original Issue Date

08/08/1985

Effective Date

05/29/2020

Expiration Date

07/31/2023

City

HARVEY

State

Zip

60426

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023