DAVID JAY KOFFMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029857

License Status

EXPIRED

Business

First Name

DAVID JAY

Last Name

KOFFMAN

Suffix

Business Name

DAVID JAY KOFFMAN MD

Original Issue Date

05/26/1993

Effective Date

05/26/1993

Expiration Date

06/23/1996

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006