KEVIN JOSEPH CARL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

Title

First Name

KEVIN

Middle

JOSEPH

Last Name

CARL

Business Name

KEVIN JOSEPH CARL MD

Original Issue Date

08/05/2020

Effective Date

08/05/2020

Expiration Date

07/31/2023

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023