JUSTIN JACOB KOENIG DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136515

License Status

NOT RENEWED

Business

Title

First Name

JUSTIN

Middle

JACOB

Last Name

KOENIG

Business Name

JUSTIN JACOB KOENIG DO

Original Issue Date

09/19/2014

Effective Date

09/19/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017