NINA M KIEKHAEFER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020354

License Status

EXPIRED

Business

First Name

NINA M

Last Name

KIEKHAEFER

Suffix

Business Name

NINA M KIEKHAEFER MD

Original Issue Date

10/07/1986

Effective Date

10/07/1986

Expiration Date

10/03/1989

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006