KAI A BICKENBACH - Medical Doctor License in Illinois | # 036112181

KAI A BICKENBACH

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112181

License Status

NOT RENEWED

Business

N

First Name

KAI

Middle

A

Last Name

BICKENBACH

Business Name

KAI A BICKENBACH

Original Issue Date

08/23/2004

Effective Date

04/17/2008

Expiration Date

07/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

11/14/2011