KELLI MARIE KILGORE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

Title

First Name

KELLI

Middle

MARIE

Last Name

KILGORE

Business Name

KELLI MARIE KILGORE DO

Original Issue Date

04/11/2017

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

LAKE BARRINGTON

State

Zip

60010

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023