KEVIN PAUL BRAZILL DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

ACTIVE

Business

Title

First Name

KEVIN

Middle

PAUL

Last Name

BRAZILL

Business Name

KEVIN PAUL BRAZILL DO

Original Issue Date

06/29/2015

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

MATTOON

State

Zip

61938

County

COLES

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023