ALAN K KLITZKE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032113

License Status

EXPIRED

Business

Title

First Name

ALAN

Middle

Last Name

KLITZKE

Business Name

ALAN K KLITZKE MD

Original Issue Date

07/02/1994

Effective Date

07/02/1994

Expiration Date

06/28/1997

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006