ASHLEY TRACEY KYDES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

ACTIVE

Business

Title

First Name

ASHLEY

Middle

TRACEY

Last Name

KYDES

Business Name

ASHLEY TRACEY KYDES MD

Original Issue Date

09/05/2023

Effective Date

09/05/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/05/2023