ANTHONY KONOLD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074559

License Status

CANCELLED

Business

Title

First Name

ANTHONY

Last Name

KONOLD

Business Name

ANTHONY KONOLD MD

Original Issue Date

06/24/2019

Effective Date

06/24/2019

Expiration Date

06/23/2022

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/04/2019