KENDALL A ITOKU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

First Name

KENDALL A

Last Name

ITOKU

Suffix

Business Name

KENDALL A ITOKU MD

Original Issue Date

10/28/2021

Effective Date

10/28/2021

Expiration Date

07/31/2023

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023