KYLE P ETZKORN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021254

License Status

CANCELLED

Business

First Name

KYLE P

Last Name

ETZKORN

Suffix

Business Name

KYLE P ETZKORN MD

Original Issue Date

06/09/1987

Effective Date

06/09/1987

Expiration Date

06/25/1990

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006