MARTIN EDMUND KLABACHA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055705

License Status

NOT RENEWED

Business

First Name

MARTIN EDMUND

Last Name

KLABACHA

Business Name

MARTIN EDMUND KLABACHA

Original Issue Date

09/23/1977

Effective Date

09/23/1977

Expiration Date

07/31/1987

City

JUSTICE

State

Zip

60458

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006