KENNETH A MUNNERLYN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

ACTIVE

Business

Title

First Name

KENNETH

Middle

Last Name

MUNNERLYN

Business Name

KENNETH A MUNNERLYN MD

Original Issue Date

08/22/2013

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

KANKAKEE

State

Zip

60901

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/13/2023