JUSTIN JACOB KOENIG DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057711

License Status

CANCELLED

Business

Title

First Name

JUSTIN

Middle

JACOB

Last Name

KOENIG

Business Name

JUSTIN JACOB KOENIG DO

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2015

City

OLYMPITA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

03/24/2014