BEAU S KONIGSBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118638

License Status

NOT RENEWED

Business

First Name

BEAU

Middle

Last Name

KONIGSBERG

Suffix

Business Name

BEAU S KONIGSBERG MD

Original Issue Date

06/08/2007

Effective Date

06/08/2007

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008