TYLER RANDALL KRUMMENACHER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056080

License Status

EXPIRED

Business

Title

First Name

TYLER

Middle

RANDALL

Last Name

KRUMMENACHER

Business Name

TYLER RANDALL KRUMMENACHER MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

09/04/2015