JOHN EDWARD KALLICH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061068

License Status

INACTIVE

Business

First Name

JOHN EDWARD

Last Name

KALLICH

Suffix

Business Name

JOHN EDWARD KALLICH MD

Original Issue Date

10/07/1980

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

04/17/2008