KYLE GRAHAM COLOGNE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051738

License Status

CANCELLED

Business

First Name

KYLE

Middle

GRAHAM

Last Name

COLOGNE

Suffix

Business Name

KYLE GRAHAM COLOGNE MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006