KYLE WAYNE MEINKE DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064154

License Status

EXPIRED

Business

Title

First Name

KYLE

Middle

WAYNE

Last Name

MEINKE

Business Name

KYLE WAYNE MEINKE DO

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/19/2017