WILLIAM L KLIEFOTH JR DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015076

License Status

EXPIRED

Business

First Name

WILLIAM

Middle

Last Name

KLIEFOTH

Suffix

JR DO

Business Name

WILLIAM L KLIEFOTH JR DO

Original Issue Date

11/23/1982

Effective Date

11/23/1982

Expiration Date

11/16/1984

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006