MARK KEVIN KIRKWOOD DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

ACTIVE

Business

First Name

MARK

Middle

KEVIN

Last Name

KIRKWOOD

Suffix

Business Name

MARK KEVIN KIRKWOOD DO

Original Issue Date

07/12/2016

Effective Date

07/02/2023

Expiration Date

07/31/2026

City

GLEN ELLYN

State

Zip

60137

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/02/2023