SAMUEL KLONOSKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149721

License Status

NOT RENEWED

Business

Title

First Name

SAMUEL

Last Name

KLONOSKI

Business Name

SAMUEL KLONOSKI MD

Original Issue Date

06/15/2019

Effective Date

06/15/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021