EVAN MICHAEL KRUEGER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

ACTIVE

Business

First Name

EVAN

Middle

MICHAEL

Last Name

KRUEGER

Suffix

Business Name

EVAN MICHAEL KRUEGER DO

Original Issue Date

12/20/2016

Effective Date

06/11/2023

Expiration Date

07/31/2026

City

NORMAL

State

Zip

61761

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/11/2023