JON P KONZEN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021855

License Status

EXPIRED

Business

First Name

JON

Middle

Last Name

KONZEN

Business Name

JON P KONZEN

Original Issue Date

05/04/1988

Effective Date

05/04/1988

Expiration Date

07/01/1991

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006