IRVIN B KRUKENKAMP MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014568

License Status

EXPIRED

Business

First Name

IRVIN B

Last Name

KRUKENKAMP

Suffix

Business Name

IRVIN B KRUKENKAMP MD

Original Issue Date

06/30/1982

Effective Date

06/30/1982

Expiration Date

07/01/1984

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006