KEVIN J KIRBY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

NOT RENEWED

Business

First Name

KEVIN J

Last Name

KIRBY

Suffix

Business Name

KEVIN J KIRBY MD

Original Issue Date

09/22/1988

Effective Date

06/29/2020

Expiration Date

07/31/2023

City

HOMER

State

Zip

61849

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023