DENNIS C KOUKOL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042574

License Status

NOT RENEWED

Business

First Name

DENNIS C

Last Name

KOUKOL

Suffix

Business Name

DENNIS C KOUKOL MD

Original Issue Date

07/01/1969

Effective Date

07/01/1969

Expiration Date

07/31/1993

City

CARY

State

Zip

60013

County

MCHENRY

Ever Disciplined

LastModifiedDate

09/20/2006