KAI A BICKENBACH Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044327

License Status

CANCELLED

Business

First Name

KAI

Middle

Last Name

BICKENBACH

Business Name

KAI A BICKENBACH

Original Issue Date

05/03/2002

Effective Date

05/03/2002

Expiration Date

06/23/2005

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006