MARIE M KERNIZAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028598

License Status

EXPIRED

Business

First Name

MARIE

Middle

Last Name

KERNIZAN

Suffix

Business Name

MARIE M KERNIZAN MD

Original Issue Date

06/04/1992

Effective Date

06/04/1992

Expiration Date

02/28/1998

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006