ADAM REA KUYKENDAL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052572

License Status

EXPIRED

Business

Title

First Name

ADAM

Middle

REA

Last Name

KUYKENDAL

Business Name

ADAM REA KUYKENDAL MD

Original Issue Date

06/18/2007

Effective Date

06/18/2007

Expiration Date

06/17/2010

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/24/2010