KIMBERLY J RAYMOND MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

CANCELLED

Business

First Name

KIMBERLY

Middle

Last Name

RAYMOND

Suffix

Business Name

KIMBERLY J RAYMOND MD

Original Issue Date

07/07/2004

Effective Date

07/07/2004

Expiration Date

07/31/2005

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006