ANTHONY LOUIS KOHLENBERG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059879

License Status

CANCELLED

Business

Title

First Name

ANTHONY

Middle

LOUIS

Last Name

KOHLENBERG

Business Name

ANTHONY LOUIS KOHLENBERG MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2014

City

LAGRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/24/2014