KATHERINE REBECCA EXTEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134806

License Status

NOT RENEWED

Business

Title

First Name

KATHERINE

Middle

REBECCA

Last Name

EXTEN

Business Name

KATHERINE REBECCA EXTEN MD

Original Issue Date

03/13/2014

Effective Date

07/18/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017