MARC ALLYN KUDELKO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000490

License Status

EXPIRED

Business

First Name

MARC

Middle

ALLYN

Last Name

KUDELKO

Business Name

MARC ALLYN KUDELKO

Original Issue Date

09/18/2000

Effective Date

09/18/2000

Expiration Date

10/17/2000

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Gastroenterology

Ever Disciplined

LastModifiedDate

09/25/2006