KYLE MATTHEW BERTRAND Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

NOT RENEWED

Business

First Name

KYLE

Middle

MATTHEW

Last Name

BERTRAND

Business Name

KYLE MATTHEW BERTRAND

Original Issue Date

07/19/2011

Effective Date

07/19/2011

Expiration Date

07/31/2014

City

PEORIA

State

Zip

61602

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020