RENATA ANNA KUKLA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073435

License Status

EXPIRED

Business

Title

First Name

RENATA

Middle

ANNA

Last Name

KUKLA

Business Name

RENATA ANNA KUKLA MD

Original Issue Date

10/22/2018

Effective Date

10/22/2018

Expiration Date

10/21/2021

City

HINSDALE

State

Zip

60521

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/11/2022