KENNETH D CANDIDO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

ACTIVE

Business

First Name

KENNETH D

Last Name

CANDIDO

Suffix

Business Name

KENNETH D CANDIDO MD

Original Issue Date

10/18/2011

Effective Date

06/25/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/25/2023