DAVID M KOLLHOFF MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052092

License Status

CANCELLED

Business

First Name

DAVID

Middle

Last Name

KOLLHOFF

Suffix

Business Name

DAVID M KOLLHOFF MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2011

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

05/04/2009