KAMAL KISHORE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

First Name

KAMAL

Last Name

KISHORE

Suffix

Business Name

KAMAL KISHORE MD

Original Issue Date

08/04/1999

Effective Date

08/04/1999

Expiration Date

07/31/2005

City

PEKIN

State

Zip

61554

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020