KATHRYN JEAN MENCEL Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037687

License Status

EXPIRED

Business

First Name

KATHRYN

Middle

JEAN

Last Name

MENCEL

Business Name

KATHRYN JEAN MENCEL

Original Issue Date

07/01/1998

Effective Date

07/01/1998

Expiration Date

06/30/2001

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006