KEVIN G WALDRON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

Last Name

WALDRON

Business Name

KEVIN G WALDRON

Original Issue Date

02/19/2009

Effective Date

12/23/2016

Expiration Date

07/31/2017

City

JOLIET

State

Zip

60435

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017