RICHARD C KINGSLAND Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023531

License Status

EXPIRED

Business

First Name

RICHARD

Middle

Last Name

KINGSLAND

Business Name

RICHARD C KINGSLAND

Original Issue Date

05/05/1989

Effective Date

05/05/1989

Expiration Date

06/26/1992

City

BERYWN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006