POND R KELEMEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

POND R

Last Name

KELEMEN

Suffix

Business Name

POND R KELEMEN MD

Original Issue Date

04/21/1988

Effective Date

04/21/1988

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/26/2006