KIMBERLY D DENNIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

ACTIVE

Business

First Name

KIMBERLY

Middle

Last Name

DENNIS

Suffix

Business Name

KIMBERLY D DENNIS MD

Original Issue Date

04/14/2005

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

NORTHBROOK

State

Zip

60062

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023