WARREN G KRUCKMEYER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014734

License Status

EXPIRED

Business

First Name

WARREN G

Last Name

KRUCKMEYER

Suffix

Business Name

WARREN G KRUCKMEYER MD

Original Issue Date

07/14/1982

Effective Date

07/14/1982

Expiration Date

07/01/1984

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006