PHILIP DANIEL KNOLLMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061432

License Status

EXPIRED

Business

Title

First Name

PHILIP

Middle

DANIEL

Last Name

KNOLLMAN

Business Name

PHILIP DANIEL KNOLLMAN MD

Original Issue Date

06/24/2015

Effective Date

06/24/2015

Expiration Date

06/23/2017

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

09/19/2017