KIMBERLY A DETTLOFF MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086013

License Status

NOT RENEWED

Business

First Name

KIMBERLY A

Last Name

DETTLOFF

Suffix

Business Name

KIMBERLY A DETTLOFF MD

Original Issue Date

05/12/1993

Effective Date

05/19/2011

Expiration Date

07/31/2014

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014