KENNETH ROBERT CARSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

ACTIVE

Business

First Name

KENNETH

Middle

ROBERT

Last Name

CARSON

Suffix

Business Name

KENNETH ROBERT CARSON MD

Original Issue Date

04/15/2005

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/12/2023