KYLE MATTHEW BERTRAND Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

ACTIVE

Business

First Name

KYLE

Middle

MATTHEW

Last Name

BERTRAND

Business Name

KYLE MATTHEW BERTRAND

Original Issue Date

06/06/2011

Effective Date

04/30/2023

Expiration Date

07/31/2026

City

EAST PEORIA

State

Zip

61611

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/30/2023