KEVIN CARL TOMFOHRDE DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045745

License Status

EXPIRED

Business

First Name

KEVIN

Middle

CARL

Last Name

TOMFOHRDE

Suffix

Business Name

KEVIN CARL TOMFOHRDE DO

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2006

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006