ANDREW THOMAS KONICEK DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058142

License Status

EXPIRED

Business

First Name

ANDREW

Middle

THOMAS

Last Name

KONICEK

Suffix

Business Name

ANDREW THOMAS KONICEK DO

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2015

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Internal Medicine/Emergency Medicine

Ever Disciplined

LastModifiedDate

09/04/2015