KEVIN THOMAS FERENCHAK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065165

License Status

EXPIRED

Business

Title

First Name

KEVIN

Middle

THOMAS

Last Name

FERENCHAK

Business Name

KEVIN THOMAS FERENCHAK MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

10/02/2019