GERALD KLOMPIEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045856

License Status

NOT RENEWED

Business

First Name

GERALD

Last Name

KLOMPIEN

Suffix

Business Name

GERALD KLOMPIEN MD

Original Issue Date

07/31/1972

Effective Date

04/28/2011

Expiration Date

07/31/2014

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014