KIMBERLY J MCINTOSH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104089

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

MCINTOSH

Business Name

KIMBERLY J MCINTOSH

Original Issue Date

01/30/2001

Effective Date

01/30/2001

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006