CLARICE H KONSHOK Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033874

License Status

EXPIRED

Business

First Name

CLARICE

Middle

Last Name

KONSHOK

Business Name

CLARICE H KONSHOK

Original Issue Date

08/09/1995

Effective Date

08/09/1995

Expiration Date

08/07/1997

City

O'FALLON

State

Zip

62269

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/22/2006