SUSAN L KLENK Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034345

License Status

EXPIRED

Business

First Name

SUSAN

Middle

Last Name

KLENK

Business Name

SUSAN L KLENK

Original Issue Date

05/14/1996

Effective Date

05/14/1996

Expiration Date

06/23/1999

City

OAK PARK

State

Zip

60301

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006