SAFAA M KIRCHA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015010

License Status

EXPIRED

Business

First Name

SAFAA

Middle

Last Name

KIRCHA

Business Name

SAFAA M KIRCHA

Original Issue Date

10/08/1982

Effective Date

10/08/1982

Expiration Date

09/29/1984

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006