KATHLEEN M FENTZKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100917

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

Last Name

FENTZKE

Suffix

Business Name

KATHLEEN M FENTZKE MD

Original Issue Date

08/06/1999

Effective Date

08/06/1999

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006