MARTIN K KITTAKA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

ACTIVE

Business

First Name

MARTIN K

Last Name

KITTAKA

Suffix

Business Name

MARTIN K KITTAKA MD

Original Issue Date

07/24/1984

Effective Date

06/18/2023

Expiration Date

07/31/2026

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/18/2023