KEITH MICHAEL REISINGER-KINDLE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

ACTIVE

Business

Title

First Name

KEITH

Middle

MICHAEL

Last Name

REISINGER-KINDLE

Business Name

KEITH MICHAEL REISINGER-KINDLE DO

Original Issue Date

11/29/2022

Effective Date

08/12/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/12/2023