KENNETH R SAGINS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

ACTIVE

Business

First Name

KENNETH R

Last Name

SAGINS

Suffix

Business Name

KENNETH R SAGINS MD

Original Issue Date

12/15/1995

Effective Date

05/23/2023

Expiration Date

07/31/2026

City

SHERMAN

State

Zip

62684

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/23/2023