KEVIN T CLEARY 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

KEVIN T

Last Name

CLEARY

Suffix

Business Name

KEVIN T CLEARY MD

Original Issue Date

10/25/1987

Effective Date

10/25/1987

Expiration Date

07/31/2005

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006