KENNETH A HACKER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000267

License Status

EXPIRED

Business

First Name

KENNETH

Middle

Last Name

HACKER

Suffix

Business Name

KENNETH A HACKER MD

Original Issue Date

11/15/2005

Effective Date

11/15/2005

Expiration Date

05/19/2006

City

JOLIET

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

09/23/2006