KYLE C KALLENBACH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034432

License Status

EXPIRED

Business

First Name

KYLE

Middle

Last Name

KALLENBACH

Business Name

KYLE C KALLENBACH

Original Issue Date

05/18/1996

Effective Date

05/18/1996

Expiration Date

06/22/2001

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006