JONATHAN RADKOFF EK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043748

License Status

EXPIRED

Business

First Name

JONATHAN

Middle

RADKOFF

Last Name

Suffix

Business Name

JONATHAN RADKOFF EK MD

Original Issue Date

08/01/2001

Effective Date

08/01/2001

Expiration Date

07/31/2004

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006