KENT A KIRK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125012549

License Status

EXPIRED

Business

First Name

KENT A

Last Name

KIRK

Suffix

Business Name

KENT A KIRK MD

Original Issue Date

06/17/1981

Effective Date

06/17/1981

Expiration Date

06/24/1983

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006