JODY W KONSTADT Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022920

License Status

EXPIRED

Business

First Name

JODY

Middle

Last Name

KONSTADT

Business Name

JODY W KONSTADT

Original Issue Date

06/29/1988

Effective Date

06/29/1988

Expiration Date

07/01/1991

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Dermatopathology

Ever Disciplined

LastModifiedDate

09/22/2006