KEVIN D KATZEN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024829

License Status

EXPIRED

Business

First Name

KEVIN D

Last Name

KATZEN

Suffix

Business Name

KEVIN D KATZEN DO

Original Issue Date

05/17/1990

Effective Date

05/17/1990

Expiration Date

06/21/1993

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

General Practice

Ever Disciplined

LastModifiedDate

09/22/2006