AMY V KONTRICK Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032961

License Status

EXPIRED

Business

First Name

AMY V

Last Name

KONTRICK

Business Name

AMY V KONTRICK

Original Issue Date

06/03/1995

Effective Date

06/03/1995

Expiration Date

06/23/1998

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006