DAVID JOHN KONCZAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130579

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

JOHN

Last Name

KONCZAL

Business Name

DAVID JOHN KONCZAL MD

Original Issue Date

06/18/2012

Effective Date

05/22/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017