KAMAL KISHORE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

NOT RENEWED

Business

First Name

KAMAL

Last Name

KISHORE

Suffix

Business Name

KAMAL KISHORE MD

Original Issue Date

08/11/1999

Effective Date

05/18/2020

Expiration Date

07/31/2023

City

PERU

State

Zip

61354

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023