COLETTE A GOMEZ-KIRCHHOFF Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029777

License Status

EXPIRED

Business

First Name

COLETTE A

Last Name

GOMEZ-KIRCHHOFF

Business Name

COLETTE A GOMEZ-KIRCHHOFF

Original Issue Date

05/20/1993

Effective Date

05/20/1993

Expiration Date

06/21/1996

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006