VICTORIA J L KONOLD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064408

License Status

CANCELLED

Business

Title

First Name

VICTORIA

Middle

J L

Last Name

KONOLD

Business Name

VICTORIA J L KONOLD MD

Original Issue Date

06/25/2014

Effective Date

06/25/2014

Expiration Date

06/24/2017

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/06/2014