KENNETH M GOINS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

KENNETH M

Last Name

GOINS

Suffix

Business Name

KENNETH M GOINS MD

Original Issue Date

07/23/1992

Effective Date

07/23/1992

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60605

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020