STEPHAN KIENZLE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036170586

License Status

ACTIVE

Business

Title

First Name

STEPHAN

Last Name

KIENZLE

Business Name

STEPHAN KIENZLE MD

Original Issue Date

06/13/2024

Effective Date

06/13/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

06/11/2024