THOMAS PETER KLIS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071176

License Status

CANCELLED

Business

Title

First Name

THOMAS

Middle

PETER

Last Name

KLIS

Business Name

THOMAS PETER KLIS MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

05/04/2020