ANNIE KATHRYN KORNETZKE DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074527

License Status

EXPIRED

Business

Title

First Name

ANNIE

Middle

KATHRYN

Last Name

KORNETZKE

Business Name

ANNIE KATHRYN KORNETZKE DO

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

HINSDALE

State

Zip

60521

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/11/2022