DIANE J KOHL Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018092

License Status

EXPIRED

Business

First Name

DIANE J

Last Name

KOHL

Business Name

DIANE J KOHL

Original Issue Date

06/13/1985

Effective Date

06/13/1985

Expiration Date

06/24/1988

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006