ROBERT JON KLICKOVICH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044018

License Status

EXPIRED

Business

First Name

ROBERT

Middle

JON

Last Name

KLICKOVICH

Suffix

Business Name

ROBERT JON KLICKOVICH MD

Original Issue Date

06/17/2002

Effective Date

06/17/2002

Expiration Date

06/16/2003

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006