LUKAS R KOLM Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038761

License Status

EXPIRED

Business

First Name

LUKAS

Middle

Last Name

KOLM

Business Name

LUKAS R KOLM

Original Issue Date

07/22/1998

Effective Date

07/22/1998

Expiration Date

06/30/2001

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006