ELIZABETH NGUYEN KIRCHOFF DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047796

License Status

EXPIRED

Business

First Name

ELIZABETH

Middle

NGUYEN

Last Name

KIRCHOFF

Suffix

Business Name

ELIZABETH NGUYEN KIRCHOFF DO

Original Issue Date

06/21/2004

Effective Date

06/21/2004

Expiration Date

06/20/2007

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/03/2007