RICHARD JONATHAN KOLETSKY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053306

License Status

NOT RENEWED

Business

First Name

RICHARD JONATHAN

Last Name

KOLETSKY

Suffix

Business Name

RICHARD JONATHAN KOLETSKY MD

Original Issue Date

08/19/1976

Effective Date

08/19/1976

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006