KENNETH MICHAEL PATRICK DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045852

License Status

EXPIRED

Business

First Name

KENNETH

Middle

MICHAEL

Last Name

PATRICK

Suffix

Business Name

KENNETH MICHAEL PATRICK DO

Original Issue Date

05/05/2003

Effective Date

05/05/2003

Expiration Date

06/30/2006

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006