ELIZABETH J E KUNTZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042817

License Status

EXPIRED

Business

First Name

ELIZABETH

Middle

J E

Last Name

KUNTZ

Suffix

Business Name

ELIZABETH J E KUNTZ MD

Original Issue Date

07/01/2001

Effective Date

07/01/2001

Expiration Date

06/30/2002

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006