TONY LEE KILLE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

ACTIVE

Business

First Name

TONY

Middle

LEE

Last Name

KILLE

Suffix

Business Name

TONY LEE KILLE MD

Original Issue Date

09/14/2006

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/14/2023