OTTO H KIEFFER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030146

License Status

EXPIRED

Business

First Name

OTTO H

Last Name

KIEFFER

Business Name

OTTO H KIEFFER

Original Issue Date

06/07/1993

Effective Date

06/07/1993

Expiration Date

06/30/1996

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006