KRISTIN MAUREEN EBERT 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

KRISTIN

Middle

MAUREEN

Last Name

EBERT

Business Name

KRISTIN MAUREEN EBERT MD

Original Issue Date

04/03/2024

Effective Date

04/03/2024

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61104

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2026