ROBERT LEWIS KONOLD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055127

License Status

EXPIRED

Business

Title

First Name

ROBERT

Middle

LEWIS

Last Name

KONOLD

Business Name

ROBERT LEWIS KONOLD MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/19/2011