MICHAEL MARK KONIUCH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062633

License Status

CANCELLED

Business

Title

First Name

MICHAEL

Middle

MARK

Last Name

KONIUCH

Business Name

MICHAEL MARK KONIUCH MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

03/24/2014