MIRA A KUDER Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

ACTIVE

Business

First Name

MIRA

Middle

Last Name

KUDER

Business Name

MIRA A KUDER

Original Issue Date

07/17/2023

Effective Date

07/17/2023

Expiration Date

07/31/2026

City

WHEELING

State

Zip

60090

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/17/2023