NATHAN M KAKISH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

ACTIVE

Business

First Name

NATHAN

Middle

Last Name

KAKISH

Suffix

Business Name

NATHAN M KAKISH MD

Original Issue Date

06/12/2006

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

WEST DUNDEE

State

Zip

60118

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2023