KYLE JOSEPH LEGRAND Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

ACTIVE

Business

First Name

KYLE

Middle

JOSEPH

Last Name

LEGRAND

Business Name

KYLE JOSEPH LEGRAND

Original Issue Date

04/13/2015

Effective Date

10/06/2023

Expiration Date

07/31/2026

City

CINCINNATI

State

Zip

45208

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/06/2023