KENDALL DAVID BOONE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

First Name

KENDALL

Middle

DAVID

Last Name

BOONE

Suffix

Business Name

KENDALL DAVID BOONE MD

Original Issue Date

09/01/1999

Effective Date

05/03/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2023