KRISTOPHER KYLE CARPENTER Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

ACTIVE

Business

First Name

KRISTOPHER

Middle

KYLE

Last Name

CARPENTER

Business Name

KRISTOPHER KYLE CARPENTER

Original Issue Date

06/02/2010

Effective Date

05/30/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60617

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/30/2023