KIM NANCY S DUQUE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

ACTIVE

Business

Title

First Name

KIM

Middle

NANCY S

Last Name

DUQUE

Business Name

KIM NANCY S DUQUE MD

Original Issue Date

01/23/2015

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

RIVER FOREST

State

Zip

60305

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/13/2023