KIM THERESE GRAHL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

ACTIVE

Business

First Name

KIM

Middle

THERESE

Last Name

GRAHL

Suffix

Business Name

KIM THERESE GRAHL MD

Original Issue Date

06/18/1998

Effective Date

05/24/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/24/2023