JUSTIN P KLINE Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042856

License Status

CANCELLED

Business

First Name

JUSTIN

Middle

Last Name

KLINE

Business Name

JUSTIN P KLINE

Original Issue Date

06/24/2001

Effective Date

06/24/2001

Expiration Date

06/30/2007

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Hematology & Oncology

Ever Disciplined

LastModifiedDate

09/22/2006