KYLE C KALLENBACH Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

ACTIVE

Business

First Name

KYLE

Middle

Last Name

KALLENBACH

Business Name

KYLE C KALLENBACH

Original Issue Date

08/01/2001

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023