KELSEY MARIE KANESHIRO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

ACTIVE

Business

Title

First Name

KELSEY

Middle

MARIE

Last Name

KANESHIRO

Business Name

KELSEY MARIE KANESHIRO MD

Original Issue Date

04/10/2020

Effective Date

04/27/2023

Expiration Date

07/31/2026

City

NORTHBROOK

State

Zip

60062

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/27/2023