WILLIAM M KONITSKY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

First Name

WILLIAM

Middle

Last Name

KONITSKY

Business Name

WILLIAM M KONITSKY

Original Issue Date

05/10/2005

Effective Date

05/16/2011

Expiration Date

07/31/2014

City

BROOKFIELD

State

Zip

60513

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014