JOHN KEVIN PAULSEN MD Medical Doctor License verification

Business Entity

INOPERATIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

INOPERATIVE

Business

First Name

JOHN KEVIN

Last Name

PAULSEN

Suffix

Business Name

JOHN KEVIN PAULSEN MD

Original Issue Date

01/01/1997

Effective Date

07/14/2023

Expiration Date

07/31/2026

City

BRIMFIELD

State

Zip

61517

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/14/2023