KEVIN DALE DRAXINGER 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

First Name

KEVIN

Middle

DALE

Last Name

DRAXINGER

Suffix

Business Name

KEVIN DALE DRAXINGER MD

Original Issue Date

05/25/2004

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023