KATHRYN ELENA STORCK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000534

License Status

EXPIRED

Business

Title

First Name

KATHRYN

Middle

ELENA

Last Name

STORCK

Business Name

KATHRYN ELENA STORCK MD

Original Issue Date

04/03/2017

Effective Date

04/03/2017

Expiration Date

10/02/2017

City

CHICAGO

State

Zip

60661

County

COOK

Specialty/Qualifier

Family Planning

Ever Disciplined

LastModifiedDate

01/04/2018