KENDALL COREY NEWSOME MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

ACTIVE

Business

First Name

KENDALL

Middle

COREY

Last Name

NEWSOME

Suffix

Business Name

KENDALL COREY NEWSOME MD

Original Issue Date

02/09/2000

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/13/2023