JOHN J KLOSAK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060710

License Status

NOT RENEWED

Business

First Name

JOHN J

Last Name

KLOSAK

Business Name

JOHN J KLOSAK

Original Issue Date

08/04/1980

Effective Date

06/08/2017

Expiration Date

09/30/2020

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

01/14/2021