Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****96

NOT RENEWED

N

MD

KACI

LYNE

DURBIN

KACI LYNE DURBIN MD

02/15/2012

05/17/2017

09/30/2020

O FALLON

IL

62269

SAINT CLAIR

PRACTITIONER

II III IV V

N

01/14/2021