ANDREW J KONTRICK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045858

License Status

NOT RENEWED

Business

First Name

ANDREW J

Last Name

KONTRICK

Suffix

Business Name

ANDREW J KONTRICK MD

Original Issue Date

07/31/1972

Effective Date

04/19/2017

Expiration Date

09/30/2020

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

01/14/2021