KEVIN R HADDLE DDS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

ACTIVE

Business

First Name

KEVIN

Middle

Last Name

HADDLE

Suffix

DDS MD

Business Name

KEVIN R HADDLE DDS MD

Original Issue Date

05/12/2022

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

NORTH AURORA

State

Zip

60542

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/28/2023