KENT ROBERT OPHEIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051356

License Status

NOT RENEWED

Business

First Name

KENT ROBERT

Last Name

OPHEIM

Suffix

Business Name

KENT ROBERT OPHEIM MD

Original Issue Date

08/12/1975

Effective Date

08/12/1975

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006